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BLD2024-0499_Application_4.15.2024_11.46.35_AM_4190124CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1471902 - GARD Applicant First Name Last Name Company Name PERMIT COORDINATOR Blue Flame Htg Air & Electric Number Street Apartment or Suite Number E-mail Address 7116 220TH ST SW SUITE 1 INFO@BLUEFLAMECOMFORT.COM City State Zip Phone Number Extension MOUNTLAKE WA 98043 (425) 425-2149 Contractor Company Name RESCUE ROOTER Number Street Apartment or Suite Number 965 Ridge Lake Blvd Suite 201 City State Zip Phone Number Extension Memphis TN 38120 (425) 425-2149 (425) 425-2149 State License Number License Expiration Date UBI # E-mail Address BLUEFFH827RK 12/12/2024 FD1 9'17g4q INFO@BLUEFLAMECOMFORT.COM Project Location Number Street Floor Number Suite or Room Number 1114 8TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00619401000100 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 Ron L & Lanay A Gard Number Street Apartment or Suite Number 1114 8TH AVE S 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: 4/15/2024 Submitted By: PERMIT COORDINATOR Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1471902 - GARD Project Contact Company Blue Flame Htg Air & Electric Name: Name: PERMIT COORDINATOR Email: INFO@BLUEFLAMECOMFORT.COM Address: 7116 220TH ST SW SUITE 1 Phone #: (425) 425-2149 MOUNTLAKE TERRACE WA 98043 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: GARD Description of Work: Install heat pump 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: 1st floor, Back yard Master Bath, Garage) Page 2 of 2