Application_1579489CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1579489
Applicant
First Name Last Name
D Jason Nordstrom
Company Name
Nordstrom Heating & Air, Inc
Number Street
1059 State Ave
Apartment or Suite Number E-mail Address
G office@nordstromheating.com
City State Zip
Marysville WA 98270
Phone Number Extension
(360) 386-9819
Contractor
Company Name
NORDSTROM HEATING & AIR
Number Street
14701 Main Street N.E.
Apartment or Suite Number
City State Zip
Duvall WA 98019
Phone Number Extension
(360) 386-9819
State License Number License Expiration Date
NORDSHA7721_2 6/26/2025
UBI # E-mail Address
Rn17R4R17 office@nordstromheating.com
Project Location
Number Street
21725 84TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
27043000101100
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
Claire & Meyer Justin E Cooper
Number Street
21725 84TH AVE W
Apartment or Suite Number
City State
EDMONDS WA
Zip
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: 11/18/2024 Submitted By: D Jason Nordstrom
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1579489
Project Type
Single Family Residential
Project Details
HVAC Systems
Furnace
Associated Building Permit?
Activity Type
Repair or Replacement
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, furnace in crawl space
Master Bath, Garage)
Scope of Work
Mechanical
Page 2 of 2