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BLD2023-1069_Application_8.28.2023_7.16.44_PM_3751844CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1368744 - Edmonds Mechanical Permit Applicant First Name Last Name Company Name Andrii Nikolaienko ANP Heating AC LLC Number Street Apartment or Suite Number E-mail Address 27001 26th Place S hvacandrii@gmail.com City State Zip Phone Number Extension Kent WA 98032 (206) 359-0716 Contractor Company Name ANP HEATING & A/C LLC Number Street Apartment or Suite Number 27001 26th PL S City State Zip Phone Number Extension Kent WA 98032 (206) 359-0716 State License Number License Expiration Date UBI # E-mail Address ANPHEHC815P4 10/24/2023 Fn4997Rng hvacandrii@gmail.com Project Location Number Street Floor Number Suite or Room Number 7527 172ND ST SW City Zip Code County Parcel Number EDMONDS 98026 00513100012222 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 Kavehn Noorbakhsh Number Street Apartment or Suite Number 7527 172ND ST SOUTHWEST 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: 8/28/2023 Submitted By: Andrii Nikolaienko Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1368744 - Edmonds Mechanical Permit Project Contact Company Name: ANP Heating AC LLC Name: Andrii Nikolaienko Email: hvacandrii@gmail.com Address: 27001 26th Place S Phone #: (206) 359-0716 Kent WA 98032 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: Edmonds Mechanical Permit Description of Work: Install: 2 gas pipe fire place 1 kitchen exhaust 1 A/C 1 water heater Project Details Heaters Fireplace Insert - Gas HVAC Systems Air Conditioner Heat Pump Associated Building Permit? There is or will be a building permit associated with this work at the project location. Other 1 water heater and 1 kitchen exhaust Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 2 1 1 2 Work will be done inside the house on the 1 st floor and outside the house. Page 2 of 2