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Application_1385306CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1385306 Applicant First Name Last Name Ally Turner Company Name Lifetime Heating & Air Conditioning Number Street 2801 Bickford Ave. Apartment or Suite Number E-mail Address Suite 103-148 allyt@lifetimeheating.com City State Zip Snohomish WA 98290 Phone Number Extension (425) 553-4328 Contractor Company Name LIFETIME HEATING & AIR CNDTNG Number Street 5413 PANTHER LAKE RD Apartment or Suite Number City State Zip SNOHOMISH WA 98290 Phone Number Extension (425) 359-5687 State License Number License Expiration Date LIFETHA8201_8 6/28/2024 UBI # E-mail Address BD4D54gBR allyt@lifetimeheating.com Project Location Number Street 23342 74TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00488800300204 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 Rudolf K Maynard Number Street 23342 74TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 10/4/2023 Submitted By: Ally Turner Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1385306 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace 1 Work Location Work Description/Location (example: 1 st floor, furnace replacement in basement. Master Bath, Garage) Page 2 of 2