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BLD2023-0674_Application_6.2.2023_8.08.12_AM_3583245CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1326365 - Lang Applicant First Name Last Name Company Name Terry Clinton Fischer Plumbing Co Inc, The Number Street Apartment or Suite Number E-mail Address 6608 220th st sw fpdsl@nwlink.com City State Zip Phone Number Extension Mountlake terrace WA 98043 (206) 783-4129 2065104296 Contractor Company Name FISCHER HTG & A/C INC Number Street Apartment or Suite Number 6608 220th st Sw City State Zip Phone Number Extension Mountlake terrace WA 98043 (206) 783-1190 State License Number License Expiration Date UBI # E-mail Address FISCHHC867NA 8/10/2024 Rnmi 597R fpdsl@nwlink.com Project Location Number Street Floor Number Suite or Room Number 7808 206TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00614300003001 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 Renee C Lang Number Street Apartment or Suite Number 7808 206TH ST SW City State Zip EDMONDS WA 98026-6862 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: 6/2/2023 Submitted By: Terry Clinton Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1326365 - Lang Project Contact Company Name: Fischer Plumbing Co Inc, The Name: Pat Brake Email: pat@fischerheating.com Address: 6608 220th st sw Phone #: (206) 423-5331 Mountlake terrace WA 98043 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Lang Description of Work: Install 2-zone Mitsubishi ductless system Project Details HVAC Systems Heat Pump 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, Mitsubishi Outdoor unit placed on pad next to home in Master Bath, Garage) center of back yard connected to two indoor wall units on main floor Page 2 of 2