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BLD2023-1073_Application_8.29.2023_8.59.15_AM_3752400CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1368961 - Tessier HVAC Applicant First Name Last Name Company Name Patrick Brake Fischer Heating and Air Number Street Apartment or Suite Number E-mail Address 6608 220th St SW pat@fischerheating.com City State Zip Phone Number Extension MOUNTLAKE WA 98043 (206) 783-1190 Contractor Company Name FISCHER HTG & A/C INC Number Street Apartment or Suite Number 6608 220th st Sw City State Zip Phone Number Extension Mountlake terrace WA 98043 (206) 783-1190 State License Number License Expiration Date UBI # E-mail Address FISCHHC867NA 8/10/2024 5Dm15978 pat@fischerheating.com Project Location Number Street Floor Number Suite or Room Number 21100 PIONEER WAY City Zip Code County Parcel Number EDMONDS 98026 00707300000500 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 Dennis Tessier Number Street Apartment or Suite Number 21100 PIONEER WAY City State Zip EDMONDS WA 98026-6947 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: 8/29/2023 Submitted By: Patrick Brake Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1368961 - Tessier HVAC Project Contact Company Name: Fischer Heating and Air Name: Patrick Brake Email: pat@fischerheating.com Address: 6608 220th St SW Phone #: (206) 783-1190 MOUNTLAKE TERRACE WA 98043 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Tessier HVAC Description of Work: replace gas furnace with gas furnace and heat pump Project Details HVAC Systems Furnace 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 1 Install Heat Pump on side of garage and replace furnace in garage Page 2 of 2