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Application_1394005CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1394005 Applicant First Name Last Name Company Name Viktor Nazarchuk Climate Control Experts HVAC LLC Number Street Apartment or Suite Number E-mail Address 28613 47th PI S ccexpertshvacllc@gmail.com City State Zip Phone Number Extension Auburn WA 98001 (253) 263-9547 Contractor Company Name CLIMATE CNTRL EXPERTS HVAC LLC Number Street Apartment or Suite Number PO BOX 3735 32829 PACIFIC HWY City State Zip Phone Number Extension FEDERAL WAY WA 98063 (253) 263-9547 State License Number License Expiration Date UBI # E-mail Address CLI MACE811 OD 9/4/2025 FD449949D ccexpertshvacllc@gmail.com Project Location Number Street Floor Number Suite or Room Number 9118 OLYMPIC VIEW DR City Zip Code County Parcel Number EDMONDS 98026 27041800200400 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 Brian & Kristin Eastland Tr Den Eastland Number Street Apartment or Suite Number 9118 OLYMPIC VIEW DR 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: 11/1/2023 Submitted By: Viktor Nazarchuk Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1394005 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Work Description/Location (example: 1 st floor, Installing new gas line for a coffee roaster in the garage Master Bath, Garage) with two outlets for that. Page 2 of 2