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BLD2024-0491_Application_4.12.2024_2.46.41_PM_4194119CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1472879 - Hua Applicant First Name Last Name Company Name Haylie Conchelos Gene Johnson Plumbing and Heating Number Street Apartment or Suite Number E-mail Address 10733 47th Place W dispatchers@genejohnsonservices.com City State Zip Phone Number Extension Mukilteo Wa 98275 (206) 767-3311 Contractor Company Name BELRED HEATING/COOL/PLMB LLC Number Street Apartment or Suite Number 10733 47th Place W City State Zip Phone Number Extension Mukilteo WA 98275 (206) 767-3311 State License Number License Expiration Date UBI # E-mail Address GENEJJP7713N 8/10/2025 F;us i sis dispatchers@genejohnsonservices.com Project Location Number Street Floor Number Suite or Room Number 18916 83RD AVE W City Zip Code County Parcel Number EDMONDS 98026 00481600300600 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 Jian & Chai Yixiao Hua Number Street Apartment or Suite Number 18916 83RD AVE 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: Haylie Conchelos Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1472879 - Hua Project Contact Company Gene Johnson Plumbing Name: and Heating Name: Haylie Conchelos Address: 10733 47th Place W Mukilteo Washington 98275 Project Type Single Family Residential Project Name: Hua Description of Work: Combi Boiler Project Details Email: dispatchers@genejohnsonservices.com Phone #: (206) 767-3311 Activity Type Repair or Replacement Boilers and Water Heaters Boiler or Compressor 100,001 to 499,000 BTU 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) Scope of Work Mechanical Page 2 of 2