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Application_1424338CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1424338 Applicant First Name Last Name Caleigh Tarvin Company Name BelRed Heating, Cooling and Plumbing, LLC Number Street 10733 47TH PL WEST Apartment or Suite Number E-mail Address permits@belred.com City State Zip Mukilteo WA 98275 Phone Number Extension (425) 493-5353 Contractor Company Name BELRED HEATING/COOL/PLMB LLC Number Street 10733 47TH PLACE W Apartment or Suite Number City State Zip MUKILTEO WA 98275 Phone Number Extension (425) 493-5353 State License Number License Expiration Date BELREHL789CS 2/14/2026 UBI # E-mail Address F;usyis.m permits@belred.com Project Location Number Street 21307 76TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00861530701200 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 Lawrence B & Jack Hannan A R Ttee Jack Number Street 10801 130TH AVE E Apartment or Suite Number City State PUYALLUP WA Zip 98374 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: 1/4/2024 Submitted By: Caleigh Tarvin Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1424338 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, Basement Master Bath, Garage) Page 2 of 2