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BLD2024-0907_Application_7.12.2024_9.41.59_AM_4373595CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1515629 - Blanco Applicant First Name Last Name Company Name NW Mechanical NW Mechanical Number Street Apartment or Suite Number E-mail Address 16110 Woodinville Redmond Rd NE Ste.6 Permit@nwmechanical.com City State Zip Phone Number Extension Woodinville WA 98072 (206) 486-3572 Contractor Company Name Northwest Mechanical Number Street Apartment or Suite Number Woodinville Redmond Rd NE City State Zip Phone Number Extension Woodinville WA 98155 (206) 267-4328 State License Number License Expiration Date UBI # E-mail Address NORTHM*799CA 2/9/2025 RuR899B.,i Permit@nwmechanical.com Project Location Number Street Floor Number Suite or Room Number 8710 192ND ST SW City Zip Code County Parcel Number EDMONDS 98026 27041800308900 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 Reiner R\ Laurel A Blanco Number Street Apartment or Suite Number 8710 192ND ST SW 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: 7/12/2024 Submitted By: NW Mechanical Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1515629 - Blanco Project Contact Company Name: NW Mechanical Name: NW Mechanical Email: Permit@nwmechanical.com Address: 16110 Woodinville Redmond Rd Phone #: (206) 486-3572 NE Ste.6 Woodinville WA 98072 Project Type Single Family Residential Project Name: Blanco Description of Work: replace boiler Project Details Activity Type Repair or Replacement Boilers and Water Heaters Boiler or Compressor 100,001 to 499,000 BTU 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 Scope of Work Mechanical replace boiler in mechanical room Page 2 of 2