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BLD2024-1089_Application_8.20.2024_9.52.21_AM_4450895CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1535201 - Mitsubishi Mini Split Applicant First Name Last Name Company Name Jason Bergstrom AirBest Home Services & Duct Cleaning Number Street Apartment or Suite Number E-mail Address 18726 111th Ave E airbesthomeservices@gmail.com City State Zip Phone Number Extension Puyallup WA 98374 (253) 248-5170 Contractor Company Name AIRBEST HOME SERVICES Number Street Apartment or Suite Number 18726 111 th Ave E City State Zip Phone Number Extension Puyallup WA 98374 (253) 248-5170 State License Number License Expiration Date UBI # E-mail Address AIRBEHS76OLO 6/21/2026 FD4574.184 airbesthomeservices@gmail.com Project Location Number Street Floor Number Suite or Room Number 626 ELM PL City Zip Code County Parcel Number EDMONDS 98020 00736400001400 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 Traci & Bender Denise Brown Number Street Apartment or Suite Number 626 ELM PL City State Zip EDMONDS WA 98020 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: 8/20/2024 Submitted By: Jason Bergstrom Page 1 of 2 CITY OF EDMONDS M BuitdingPermit.com Mechanical Application #1535201 - Mitsubishi Mini Split Project Contact Company Name: AirBest Home Services & Duct Cleaning Name: Victoria Meacham Email: airbesthomeservices@gmail.com Address: 18726 111th Ave E Phone #: (253) 248-5170 Puyallup WA 98374 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Name: Mitsubishi Mini Split Description of Work: Installing 1 12k ODU and 1 12k IDU Project Details HVAC Systems Air Conditioner 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, 3rd floor Master Bedroom Master Bath, Garage) Page 2 of 2