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Application_1539919CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1539919 Applicant First Name Last Name Dulce Trujillo Company Name Blue Flame Heating, Air & Electric Number Street 19450 State Highway 249 Apartment or Suite Number E-mail Address 300 dtrujillo@arcxis.com City State Zip Houston TX 77070 Phone Number Extension (818) 303-1476 Contractor Company Name RESCUE ROOTER Number Street 965 Ridge Lake Blvd Apartment or Suite Number Suite 201 City State Zip Memphis TN 38120 Phone Number Extension (425) 771-7139 (425) 771-7139 State License Number License Expiration Date BLUEFFH825RM 12/31/2024 UBI # E-mail Address FD1 R'17g4q dtrujillo@arcxis.com Project Location Number Street 9828 228TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00536500001200 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 Zabo R & Leona M Pace Number Street 9828 228TH PL S W Apartment or Suite Number City State EDMONDS WA Zip 98020 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: 8/29/2024 Submitted By: Dulce Trujillo Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1539919 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 Scope of Work Mechanical Work Description/Location (example: 1st floor, 80K BTUS FURNACE CHANGEOUT IN GARAGE Master Bath, Garage) Page 2 of 2