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BLD2023-0971_Application_8.1.2023_2.04.44_PM_3700950CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1356312 - Thiessen AC install Applicant First Name Last Name Company Name Alisha Wilson Eagle Pipe & Mechanical Number Street Apartment or Suite Number E-mail Address 54 Seven Sisters Rd office@eaglepipemechanical.com City State Zip Phone Number Extension Port Ludlow WA 98365 (360) 301-2943 Contractor Company Name Eagle Pipe & Mechanical LLC Number Street Apartment or Suite Number 54 Seven Sisters Rd City State Zip Phone Number Extension Port Ludlow WA 98365 (206) 765-6851 State License Number License Expiration Date UBI # E-mail Address EAGLEPM867LK 6/12/2024 RniggRl qq office@eaglepipemechanical.com Project Location Number Street Floor Number Suite or Room Number 1101 A AVE S City Zip Code County Parcel Number EDMONDS 98020 00619400801001 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 Jeffrey J Thiessen Number Street Apartment or Suite Number 1101 AVE S City State Zip EDMONDS WA 98020 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: 8/1/2023 Submitted By: Alisha Wilson Page 1 of 2 CITY OF EDMONDS M BuitdingPermit.com Mechanical Application #1356312 - Thiessen AC install Project Contact Company Name: Eagle Pipe & Mechanical Name: Alisha Wilson Address: 54 Seven Sisters Rd Port Ludlow WA 98365 Project Type Single Family Residential Email: office@eaglepipemechanical.com Phone #: (360) 301-2943 Activity Type Scope of Work Alteration Mechanical Project Name: Thiessen AC install Description of Work: Replace the current furnace with a new Bryant variable speed gas furnace and 19 seer AC add -on. Project Details HVAC Systems Air Conditioner 1 Furnace 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, Garage and outside Master Bath, Garage) Page 2 of 2