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Application_1615784CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1615784 Applicant First Name Last Name Pat Brake Company Name Fischer Heating and Air Number Street 6608 220th St SW Apartment or Suite Number E-mail Address pat@fischerheating.com City State Zip Mountlake Terrace WA 98043 Phone Number Extension (206) 423-3551 Contractor Company Name FISCHER HTG & A/C INC Number Street 6608 220th st Sw Apartment or Suite Number City State Zip Mountlake terrace WA 98043 Phone Number Extension (206) 783-1190 State License Number License Expiration Date FISCHHC867NA 8/10/2026 UBI # E-mail Address Rnmi 597R pat@fischerheating.com Project Location Number Street 23319 ROBIN HOOD DR Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00571300401000 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 Brian J Thurber Number Street 23319 ROBIN HOOD DR Apartment or Suite Number City State EDMONDS WA Zip 98020-5115 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: 2/19/2025 Submitted By: Pat Brake Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1615784 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Page 2 of 2