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Application_1389468CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1389468 Applicant First Name Last Name Company Name Caleigh Tarvin BelRed Heating, Cooling and Plumbing, LLC Number Street Apartment or Suite Number E-mail Address 10733 47TH PL WEST permits@belred.com City State Zip Phone Number Extension Mukilteo WA 98275 (425) 493-5353 Contractor Company Name BELRED HEATING/COOL/PLMB LLC Number Street Apartment or Suite Number 10733 47TH PLACE W City State Zip Phone Number Extension MUKILTEO WA 98275 (425) 493-5353 State License Number License Expiration Date UBI # E-mail Address BELREHL789CS 2/14/2024 F;usyis.m permits@belred.com Project Location Number Street Floor Number Suite or Room Number 8227 200TH ST City Zip Code County Parcel Number EDMONDS 98020 27041900105000 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 Carole J Kirkwood Number Street Apartment or Suite Number 8227 200TH ST SW 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, 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: 10/12/2023 Submitted By: Caleigh Tarvin Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1389468 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, Garage Master Bath, Garage) Page 2 of 2