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BLD2024-1513_Application_11.18.2024_8.20.24_AM_4623924CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1579356 - HEADLEY Applicant First Name Last Name Company Name Dulce Trujillo Blue Flame Heating, Air & Electric Number Street Apartment or Suite Number E-mail Address 19450 State Highway 249 300 dtrujillo@arcxis.com City State Zip Phone Number Extension Houston TX 77070 (818) 303-1476 Contractor Company Name RESCUE ROOTER Number Street Apartment or Suite Number 965 Ridge Lake Blvd Suite 201 City State Zip Phone Number Extension Memphis TN 38120 (425) 771-7139 (425) 771-7139 State License Number License Expiration Date UBI # E-mail Address BLUEFFH825RM 12/31/2024 FD1 R'17g4q dtrujillo@arcxis.com Project Location Number Street Floor Number Suite or Room Number 21628 98TH AVE W City Zip Code County Parcel Number EDMONDS 98020 27032500109400 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 Shepard P & Schwartz Stacy M Headley Number Street Apartment or Suite Number 9903 227TH PL SW 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: 11/18/2024 Submitted By: Dulce Trujillo Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1579356 - HEADLEY Project Contact Company Name: Blue Flame Heating, Air & Electric Name: Dulce Trujillo Email: dtrujillo@arcxis.com Address: 19450 State Highway 249 300 Phone #: (818) 303-1476 Houston TX 77070 Project Type Activity Type Single Family Residential Repair or Replacement Scope of Work Mechanical Project Name: HEADLEY Description of Work: 3 TON CONDENSER INSTALL IN BACKYARD AND 36 BTUS FURNACE AIR HANDLER INSTALL IN GARAGE Project Details HVAC Systems Air Handler 10,001 CFM or more Heat Pump 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 3 TON HEAT PUMP CONDENSER INSTALL AND A 36 BTUS AIR HANDLER INSTALL Page 2 of 2