BLD2025-0123_Application_1.28.2025_7.42.52_AM_4732050CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1606541 - Taylor Residence
Applicant
First Name Last Name Company Name
Jordan Hackett Black Lion Heating and Air Conditioning
Number Street Apartment or Suite Number E-mail Address
11001 118th pl ne info@blacklionhvac.com
City State Zip Phone Number Extension
KIRKLAND WA 98033 (425) 814-3944
Contractor
Company Name
BLACK LION HEATING & A/C LLC
Number Street Apartment or Suite Number
11001 118th PL NE
City State Zip Phone Number Extension
KIRKLAND WA 98033 (425) 814-3944
State License Number License Expiration Date UBI # E-mail Address
BLACKLH873QQ 11/18/2025 Rnimsggn info@blacklionhvac.com
Project Location
Number Street Floor Number Suite or Room Number
902 SEA VISTA PL
City Zip Code County Parcel Number
EDMONDS 98020 00637000001100
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
John & Jocelyne Taylor
Number Street Apartment or Suite Number
902 SEA VISTA PL
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: 1/28/2025 Submitted By: Jordan Hackett
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1606541 - Taylor Residence
Project Contact
Company Name: Black Lion Heating and Air
Conditioning
Name: Jordan Hackett Email: info@blacklionhvac.com
Address: 11001 118th pl ne Phone #: (425) 814-3944
KIRKLAND WA 98033
Project Type Activity Type
Single Family Residential Repair or Replacement
Project Name: Taylor Residence
Description of Work: installing an air handler, heat pump and water heater
Project Details
HVAC Systems
Air Handler 10,000 CFM or less 1
Heat Pump 1
Other
water heater 1
Work Location
Work Description/Location (example: 1 st floor, garage/ side yard
Master Bath, Garage)
Scope of Work
Mechanical
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