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Application_1231604CITY OF EDMONDS Mechanical Application #1231604 Applicant First Name Last Name Diarra Diop Number Street 10733 47TH PL WEST City State Zip Mukilteo WA 98275 Contractor Company Name BELRED HTG COOLG & PLBG LLC Number Street 10733 47TH PLACE W City State Zip MUKILTEO WA 98275 i MyBuitdingPermit.com Company Name BelRed Heatinq, Coolinq and Plumbinq, LLC Apartment or Suite Number E-mail Address permits(D,belred.com Phone Number Extension (425) 493-5353 State License Number License Expiration Date UBI # BELREHL789CS 2/14/2024 604833538 Project Location Number Street 24005 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00488800600901 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension 4254935353 E-mail Address permits(a_belred.com Floor Number Suite or Room Number First Name Last Name or Company Name Ken Teruya Hiratsuka Number Street Apartment or Suite Number 24005 76TH AVE W City State Zip EDMONDS WA 98026 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: 11/17/2022 Submitted By: Diarra Diop Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1231604 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1 st floor, Closet Master Bath, Garage) Page 2 of 2