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BLD2024-0986_Application_7.30.2024_12.54.25_PM_4409777CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1523669 - install 12,000 BTU Minisplit Applicant First Name Last Name Company Name Robert Bramel Number Street Apartment or Suite Number E-mail Address 21321 93rd PI W robbramel@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 715-1531 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 21321 93RD PL W City Zip Code County Parcel Number EDMONDS 98020 00781600000800 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 Robert W & Youngberg Sylvia L Bramel Number Street Apartment or Suite Number 21321 93RD PL W City State Zip EDMONDS WA 98020-3361 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: 7/30/2024 Submitted By: Robert Bramel Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1523669 - install 12,000 BTU Minisplit Project Contact Company Name: Name: Address: Robert Bramel 21321 93rd PI W Edmonds WA 98020 Project Type Single Family Residential Email: robbramel@gmail.com Phone #: (206) 715-1531 Activity Type Scope of Work New Mechanical Project Name: install 12,000 BTU Minisplit Description of Work: Install a small (12,000 Btu) split air conditioner with a single head in the existing residence family room. Project Details HVAC Systems Air Conditioner 1 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) ground floor and outside installation of a split system air conditioner. Electrical permit is being obtained separately. Page 2 of 2