BLD2023-1045_Application_8.21.2023_10.48.48_AM_3736885CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1365191 -Taylor
Applicant
First Name Last Name Company Name
Kathleen Kappen Ballard Natural Gas Service
Number Street Apartment or Suite Number E-mail Address
2027 196th St SW A101 permits@ballardnaturalgas.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 784-8101
Contractor
Company Name
BALLARD NATURAL GAS SRVC INC
Number Street Apartment or Suite Number
2027 196th St SW A101
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 784-8101
State License Number License Expiration Date UBI # E-mail Address
BALLANG062QD 12/6/2023 BD15nR.147 permits@ballardnaturalgas.com
Project Location
Number Street Floor Number Suite or Room Number
18115 72ND AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00504600001801
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
Brian & Sherri Lynne Taylor
Number Street Apartment or Suite Number
18115 72ND AVE W
City State Zip
EDMONDS WA 98026-5509
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: 8/21/2023 Submitted By: Kathleen Kappen
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1365191 -Taylor
Project Contact
Company Name: Ballard Natural Gas
Service
Name: Kathleen Kappen Email: permits@ballardnaturalgas.com
Address: 2027 196th St SW A101 Phone #: (206) 784-8101
Lynnwood WA 98036
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Name: Taylor
Description of Work: add a single port ductless heat pump to bedroom
Project Details
HVAC Systems
Air Handler 10,000 CFM or less 1
Heat Pump 1
Work Location
Work Description/Location (example: 1st floor, bedroom
Master Bath, Garage)
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