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BLD2023-1076+Application+8.29.2023_11.54.10_AM+3687536CITY OF EDMONDS Mechanical Application #1349449 - Susan Applicant First Name Last Name David Vilensky MyBuildingPermit.com Company Name Dvac Heating & Air LLC Number Street Apartment or Suite Number E-mail Address 10116 50th PI W City State Zip Mukilteo WA 98275 Contractor Company Name DVAC HEATING & AIR LLC Number Street 4516 132ND PL SE APT 301 City State Zip MILL CREEK WA 98012 State License Number License Expiration Date UBI # DVACHHA821 NB 8/19/2024 604305154 Project Location dvacducts(�D_gmail.com Phone Number Extension (425) 908-0030 Apartment or Suite Number Phone Number Extension (208) 816-9158 E-mail Address dvacducts(cD_gmail.com Number Street Floor Number Suite or Room Number 535 WALNUT ST 3 302 City Zip Code County Parcel Number EDMONDS 98020 00659700030200 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 Susan Moseley Keene Number Street Apartment or Suite Number 535 WALNUT ST 302 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: 8/29/2023 Submitted By: David Vilensky Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Mechanical Application #1349449 - Susan Project Contact Company Name: Dvac Heating & Air LLC Name: David Vilensky Email: dvacducts@gmail.com Address: 10116 50th PI W Phone #: (425) 908-0030 Mukilteo WA 98275 Project Type Activity Type Scope of Work Mixed Use Alteration Mechanical Project Name: Susan Description of Work: Mini Split installation 1 indoor head one outdoor condenser unit Project Details HVAC Systems HVAC - Exterior Ground Mounted 1 Work Location Work Description/Location (example: 1 st floor, indoor/ outdoor Master Bath, Garage) Page 2 of 2