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Application_1556866CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1556866 Applicant First Name Last Name Randall Pursel Company Name Olympic Heating Inc Number Street 23631 Edmonds Way Apartment or Suite Number E-mail Address Olyheat02@gmail.com City State Zip Edmonds WA 98026 Phone Number Extension (425) 670-3900 Contractor Company Name Olympic Heating Inc Number Street 23631 Edmonds Way Apartment or Suite Number City State Zip Edmonds WA 98026 Phone Number Extension (425) 670-3900 State License Number License Expiration Date olymphi95207 11/11/2025 UBI # E-mail Address RD95DR54.,i olyheat02@gmail.com Project Location Number Street 6912 176TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00513100015414 Associated Building Permit Number 1 Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Stuart B & Keiko H Ttee Frank Number Street 6912 176TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026-5616 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: 10/3/2024 Submitted By: Randall Pursel Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1556866 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Page 2 of 2