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Application_1372410CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1372410 Applicant First Name Last Name Randall Pursel Company Name Olympic Heating Inc Number Street 23631 Edmonds Way Apartment or Suite Number E-mail Address OLYHEAT02@GMAIL.COM City State Zip Edmonds WA 98026 Phone Number Extension (425) 670-3900 Contractor Company Name Olympic Heating Inc Number Street 23631 Edmonds Way Apartment or Suite Number City State Zip EDMONDS WA 98026 Phone Number Extension (425) 670-3900 State License Number License Expiration Date olymphi95207 11/11/2023 UBI # E-mail Address RD95DR54� olyheat@hotmail.com Project Location Number Street 9521 224TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00544200101700 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 Charles F Gaul Number Street 9521 224TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 9/6/2023 Submitted By: Randall Pursel Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1372410 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace 1 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) garage Page 2 of 2