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BLD2024-0890_Application_7.8.2024_11.07.34_PM_4363271CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1510818 - Heat pump install Applicant First Name Last Name Company Name Michael Calderon MJ'S HEATING & AIR COND LLC Number Street Apartment or Suite Number E-mail Address 10811 3rd ave S Michael.mjhvac@gmail.com City State Zip Phone Number Extension Seattle WA 98168 (206) 619-2527 Contractor Company Name MSS HEATING & AIR COND LLC Number Street Apartment or Suite Number 10811 3RD AVE S City State Zip Phone Number Extension SEATTLE WA 98168 (206) 619-2527 State License Number License Expiration Date UBI # E-mail Address MJSHEHA809RC 8/1/2025 riu S7grift Michael.mjhvac@gmail.com Project Location Number Street Floor Number Suite or Room Number 9212 192ND PL SW City Zip Code County Parcel Number EDMONDS 98020 00434600005301 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 Jorge Fabian Quiroga Number Street Apartment or Suite Number 7815 5TH AVE NE City State Zip SEATTLE WA 98115 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: 7/8/2024 Submitted By: Michael Calderon Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1510818 - Heat pump install Project Contact Company Name: M C HEATING & AIR COND Name: Michael Calderon Email: Michael.mjhvac@gmail.com Address: 10811 3rd ave S Phone #: (206) 619-2527 Seattle WA 98168 Project Type Single Family Residential Activity Type Scope of Work New Mechanical Project Name: Heat pump install Description of Work: Install Mitsubishi heat pump and 2 indoor heads Project Details HVAC Systems Heat Pump 2 Work Location Work Description/Location (example: 1 st floor, Master , office , kitchen. Back yard Master Bath, Garage) Page 2 of 2