BLD2024-1185_Application_9.9.2024_12.24.38_PM_4488140CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1544417 - CLYBORNE
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
9325 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98020 27031300102600
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
Ronald Clyborne
Number Street Apartment or Suite Number
9325 OLYMPIC VIEW DR
City State Zip
EDMONDS WA 98020-2397
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: 9/9/2024 Submitted By: Brian Lee
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1544417 - CLYBORNE
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
Single Family Residential Repair or Replacement
Project Name: CLYBORNE
Description of Work: Replacing existing gas furnace and air -conditioner
Project Details
HVAC Systems
Air Conditioner
Furnace
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
1
Scope of Work
Mechanical
Replacing existing gas furnace and air -conditioner /
Basement and exterior of house
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