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BLD2023-0943_Application_7.26.2023_2.49.55_PM_3690800CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1352154 - MARTINEZ Applicant First Name Last Name Company Name Brian Lee Sundance Energy Services Inc Number Street Apartment or Suite Number E-mail Address 10228 Main Street brianl@sundanceenergy.com City State Zip Phone Number Extension Bothell WA 98011 (425) 481-9660 Contractor Company Name Sundance Energy Services Inc Number Street Apartment or Suite Number 10228 Main Street City State Zip Phone Number Extension Bothell WA 98011 (425) 481-9660 State License Number License Expiration Date UBI # E-mail Address SUNDAES063J9 9/13/2023 BD15416:37 kevinl@sundanceenergy.com Project Location Number Street Floor Number Suite or Room Number 20508 78TH PL W City Zip Code County Parcel Number EDMONDS 98026 00506500000300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Abby E & Martinez Gerald P Lisk Number Street Apartment or Suite Number 20508 78TH PL W City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 7/26/2023 Submitted By: Brian Lee Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1352154 - MARTINEZ Project Contact Company Name: Inc dance Energy Services Name: Brian Lee Email: brianl@sundanceenergy.com Address: 10228 Main Street Phone #: (425) 481-9660 Bothell WA 98011 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: MARTINEZ Description of Work: Installing a new heat pump Project Details HVAC Systems Heat Pump Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Installing a new heat pump / Garage and exterior of house Page 2 of 2