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BLD2023-1178_Application_9.20.2023_7.31.32_AM_3793114CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1377795 - nakashima Applicant First Name Last Name Company Name PERMIT COORDINATOR Blue Flame Htg Air & Electric Number Street Apartment or Suite Number E-mail Address 7116 220TH ST SW SUITE 1 INFO@BLUEFLAMECOMFORT.COM City State Zip Phone Number Extension MOUNTLAKE WA 98043 (425) 771-7139 Contractor Company Name RESCUE ROOTER Number Street Apartment or Suite Number 965 Ridge Lake Blvd Suite 201 City State Zip Phone Number Extension Memphis TN 38120 (253) 872-5330 (253) 872-4902 State License Number License Expiration Date UBI # E-mail Address BLUEFFH825RM 12/31/2024 FD1 9'17g4q INFO@BLUEFLAMECOMFORT.COM Project Location Number Street Floor Number Suite or Room Number 7711 175TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00378500000100 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 Craig Nakashima Number Street Apartment or Suite Number 7711 175TH ST SW City State Zip EDMONDS WA 98026-5023 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: 9/20/2023 Submitted By: PERMIT COORDINATOR Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1377795 - nakashima Project Contact Company Blue Flame Htg Air & Electric Name: Name: PERMIT COORDINATOR Email: INFO@BLUEFLAMECOMFORT.COM Address: 7116 220TH ST SW SUITE 1 Phone #: (425) 771-7139 MOUNTLAKE TERRACE WA 98043 Project Type Single Family Residential Project Name: nakashima Description of Work: heat pump conversion Project Details Activity Type Scope of Work Alteration Mechanical HVAC Systems Air Handler 10,000 CFM or less 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 garage side yard Page 2 of 2