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Application_1604325CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1604325 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 12/31/2026 FD1 R'17g4q dtrujillo@arcxis.com Project Location Number Street Floor Number Suite or Room Number 9010 202ND PL SW City Zip Code County Parcel Number EDMONDS 98026 00635400001300 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 Christopher S & Kathryn D Bjornstad Number Street Apartment or Suite Number 9010 202ND PL SW 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: 1/22/2025 Submitted By: Dulce Trujillo Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1604325 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 Scope of Work Mechanical Work Description/Location (example: 1st floor, 120K BTUS FURNACE CHANGEOUT IN THE Master Bath, Garage) CLOSET Page 2 of 2