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BLD2024-1169_Application_9.6.2024_12.49.12_PM_4485129CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1542828 - JONES Applicant First Name Last Name Company Name Brian Lee Sundance Energy Services Inc Number Street Apartment or Suite Number E-mail Address 10228 Main Street brianl@sundanceenergy.com City State Zip Phone Number Extension Bothell WA 98011 (425) 481-9660 Contractor Company Name Sundance Energy Services Inc Number Street Apartment or Suite Number 10228 Main Street City State Zip Phone Number Extension Bothell WA 98011 (425) 481-9660 State License Number License Expiration Date UBI # E-mail Address SUNDAES063J9 9/13/2025 BD15416:37 kevinl@sundanceenergy.com Project Location Number Street Floor Number Suite or Room Number 18707 78TH PL W City Zip Code County Parcel Number EDMONDS 98026 00517700001000 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 Kizzie E Jones Number Street Apartment or Suite Number PO BOX 1262-1262 City State Zip LYN N WOOD WA 98046 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: 9/6/2024 Submitted By: Brian Lee Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1542828 - JONES Project Contact Company Name: Inc dance Energy Services Name: Brian Lee Email: brianl@sundanceenergy.com Address: 10228 Main Street Phone #: (425) 481-9660 Bothell WA 98011 Project Type Activity Type Scope of Work Single Family Residential New Mechanical Project Name: JONES Description of Work: Replacing gas furnace and adding a ductless heat pump Project Details HVAC Systems Furnace 1 Heat Pump 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, Replacing gas furnace and adding a ductless heat Master Bath, Garage) pump / Crawlspace, Library Room, and Exterior of house Page 2 of 2