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BLD2024-0486_Application_4.12.2024_6.58.40_AM_4147872CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1461480 - Leslie Keenan Heat Pump Install Project Applicant First Name Last Name Company Name Leslie Keenan Go Green Heating & Air Conditioning Number Street Apartment or Suite Number E-mail Address 3218 Eastlake Ave E Suite 1 B max@gogreenheating.com City State Zip Phone Number Extension Seattle WA 98102 (425) 298-7130 Contractor Company Name GO GREEN HTG AND A/C LLC Number Street Apartment or Suite Number 3218 eastlake ave east Suite 113 City State Zip Phone Number Extension SEATTLE WA 98102 (206) 290-4165 State License Number License Expiration Date UBI # E-mail Address GOGREGH851 RW 12/16/2025 BDi55R787 max@gogreenheating.com Project Location Number Street Floor Number Suite or Room Number 17005 77TH PL W City Zip Code County Parcel Number EDMONDS 98020 01037200000400 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 Peter B & Leslie N Ttee Keenan Number Street Apartment or Suite Number 17005 77TH PL W City State Zip EDMONDS WA 98026 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: 4/12/2024 Submitted By: Leslie Keenan Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1461480 - Leslie Keenan Heat Pump Install Project Project Contact Company Name: Go Green Heating & Air Conditioning Name: Leslie Keenan Email: max@gogreenheating.com Address: 3218 Eastlake Ave E Suite 1 B Phone #: (425) 298-7130 Seattle WA 98102 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Leslie Keenan Heat Pump Install Project Description of Work: Install MXZ-SM36NAMHZ2-U1 Heat Pump Project Details HVAC Systems Heat Pump Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Primary level 1 st floor, heat pump outside living room main wall Page 2 of 2