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BLD2024-0203_Application_2.14.2024_1.53.41_PM_4059975CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1442923 - Heat Pump Applicant First Name Last Name Company Name James Young Number Street Apartment or Suite Number E-mail Address 23730 107th PL W jjyoung@frontier.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 542-9614 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 23730 107TH PL W City Zip Code County Parcel Number EDMONDS 98020 00689500003100 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 James J Young Number Street Apartment or Suite Number 23730 107TH PL W 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: 2/14/2024 Submitted By: James Young Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1442923 - Heat Pump Project Contact Company Name: Name: Address: James Young 23730 107th PL W Edmonds WA 98020 Project Type Single Family Residential Email: jjyoung@frontier.com Phone #: (206) 542-9614 Activity Type Scope of Work New Mechanical Project Name: Heat Pump Description of Work: Heat Pump already installed 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, back yard Master Bath, Garage) Page 2 of 2