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Application_1384715CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1384715 Applicant First Name Mlchaela Last Name Pollard Company Name King's Heating, Inc. Number Street 18933 HWY 99 Apartment or Suite Number E-mail Address contact@KingsHeating.com City State Lynnwood WA Zip 98036 Phone Number Extension (425) 275-5153 Contractor Company Name KING'S HEATING INC Number Street 18933 Highway 99 Apartment or Suite Number City Lynnwood State Zip WA 98036 Phone Number Extension (425) 275-5153 State License Number KINGSH1044JA License Expiration Date 3/10/2024 UBI # E-mail Address FB1 SR95g5 contact@KingsHeating.com Project Location Number Street 18924 92ND AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00434600004807 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Ruth Last Name or Company Name Helleren Number Street PO BOX 374 Apartment or Suite Number City EDMONDS State 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: 10/3/2023 Submitted By: Mlchaela Pollard Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1384715 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, Inside Master Bath, Garage) Page 2 of 2