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Application_1613557CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1613557 Applicant First Name Last Name Dulce Trujillo Company Name Blue Flame Heating, Air & Electric Number Street 19450 State Highway 249 Apartment or Suite Number E-mail Address 300 dtrujillo@arcxis.com City State Zip Houston TX 77070 Phone Number Extension (818) 303-1476 Contractor Company Name RESCUE ROOTER Number Street 965 Ridge Lake Blvd Apartment or Suite Number Suite 201 City State Zip Memphis TN 38120 Phone Number Extension (425) 771-7139 (425) 771-7139 State License Number License Expiration Date BLUEFFH825RM 12/31/2026 UBI # E-mail Address FD1 R'17g4q dtrujillo@arcxis.com Project Location Number Street 20629 81 ST AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00414000001300 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 Gary & Carol KEISER Number Street 20629 81 ST 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: 2/13/2025 Submitted By: Dulce Trujillo Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1613557 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Scope of Work Mechanical Work Description/Location (example: 1st floor, 60K BTUS FURNACE CHANGEOUT IN GARAGE Master Bath, Garage) Page 2 of 2