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BLD2023-1639_Application_12.22.2023_8.46.55_AM_3932484CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1412327 - williams Applicant First Name Last Name Company Name DEBRA BASSETT Bassett Home Heating, INC. Number Street Apartment or Suite Number E-mail Address 23912 75TH AVE SE BASSETT@BASSETTHOMEHEATING.CO City State Zip Phone Number Extension WOODINVILLE WA 98072 (425) 398-1666 Contractor Company Name BASSETT HOME HEATING INC Number Street Apartment or Suite Number 23912 75TH AVE SE City State Zip Phone Number Extension WOODINVILLE WA 98072 (425) 398-1666 State License Number License Expiration Date UBI # E-mail Address BASSEHH044RS 12/5/2025 F;nl75.14F;5 BASS ETT@BASSETTHOM EHEATING. C Project Location Number Street Floor Number Suite or Room Number 432 OLYMPIC AVE City Zip Code County Parcel Number EDMONDS 98020 00507200000200 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 Charles R & Paula R Williams Number Street Apartment or Suite Number 432 OLYMPIC AVE 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: 12/22/2023 Submitted By: DEBRA BASSETT Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1412327 - williams Project Contact Company Bassett Home Heating, Name: INC. Name: DEBRA BASSETT Address: 23912 75TH AVE SE WOODINVILLE WA 98072 Email: BASSETT@BASSETTHOMEHEATING.COM Phone #: (425) 398-1666 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Name: williams Description of Work: install electric air handler/heat pump and electric water heater Project Details HVAC Systems Furnace 1 Heat Pump 1 Other electric water heater 1 Work Location Work Description/Location (example: 1st floor, basement Master Bath, Garage) Page 2 of 2