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BLD2023-1433_Application_11.9.2023_10.07.14_AM_3891172CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1402390 - Grotheer Applicant First Name Last Name Company Name Mlchaela Pollard King's Heating, Inc. Number Street Apartment or Suite Number E-mail Address 18933 HWY 99 contact@KingsHeating.com City State Zip Phone Number Extension Lynnwood WA 98036 (425) 275-5153 Contractor Company Name KING'S HEATING INC Number Street Apartment or Suite Number 18933 Highway 99 City State Zip Phone Number Extension Lynnwood WA 98036 (425) 275-5153 State License Number License Expiration Date UBI # E-mail Address KINGSH1044JA 3/10/2024 FD1 SR95g5 contact@KingsHeating.com Project Location Number Street Floor Number Suite or Room Number 815 MAPLE ST City Zip Code County Parcel Number EDMONDS 98020 00434207603400 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 & Grotheer Sweeney Number Street Apartment or Suite Number 815 MAPLE ST City State Zip EDMONDS WA 98020 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: 11/9/2023 Submitted By: Mlchaela Pollard Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1402390 - Grotheer Project Contact Company Name: King's Heating, Inc. Name: Mlchaela Pollard Email: contact@KingsHeating.com Address: 18933 HWY 99 Phone #: (425) 275-5153 Lynnwood WA 98036 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: Grotheer Description of Work: Install heat pump and air handler Project Details HVAC Systems Air Handler 10,000 CFM or less Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 Inside and outside Scope of Work Mechanical Page 2 of 2