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Application_1513448CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1513448 Applicant First Name Last Name Jeana Brennan Company Name Paragon Heating and Home Comfort Solutions Number Street PO Box 798 Apartment or Suite Number E-mail Address info@paragonheating.com City State Zip Marysville WA 98270 Phone Number Extension (360) 658-9500 Contractor Company Name Paragon Htg/Hm Cmft Sltns LLC Number Street PO Box 798 Apartment or Suite Number City State Zip Marysville WA 98270 Phone Number Extension (360) 658-9500 State License Number License Expiration Date PARAGHC8632A 5/1/2026 UBI # E-mail Address F;ni ig556q info@paragonheating.com Project Location Number Street 21215 92ND PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00373600501001 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 John & Julie Kelly Doolittle Number Street 21215 92ND PL W Apartment or Suite Number City State EDMONDS WA Zip 98020-3342 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 7/5/2024 Submitted By: Jeana Brennan Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1513448 Project Type Single Family Residential Project Details HVAC Systems Furnace Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Utility room Master Bath, Garage) Scope of Work Mechanical Page 2 of 2