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BLD2021-0478_Application_4.5.2021_10.35.49_AM_2126839CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #944593 - mechanical-Mcdonald Applicant First Name Last Name Company Name Valura Brashears Lifetime Heating & Air Conditioning Number Street Apartment or Suite Number E-mail Address 2801 Bickford Ave. Suite 103-148 valurab@lifetimeheating.com City State Zip Phone Number Extension Snohomish WA 98290 4255534328 Contractor Company Name REFINED HEATING & A/C Number Street Apartment or Suite Number 5413 PANTHER LAKE RD City State Zip Phone Number Extension SNOHOMISH WA 98290 (425)359-5687 State License Number License Expiration Date UBI # E-mail Address LIFETHA8201_8 6/28/2022 RD4D54gBR valurab@lifetimeheating.com Project Location Number Street Floor Number Suite or Room Number 21302 93RD PL W City Zip Code County Parcel Number EDMONDS 98020 00781600000100 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 Terrance T Trinen Number Street Apartment or Suite Number 21302 93RD PL W 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: 4/5/2021 Submitted By: Valura Brashears Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #944593 - mechanical-Mcdonald Project Contact Company Name: Lifetime Heating & Air Conditioning Name: Valura Brashears Email: valurab@lifetimeheating.com Address: 2801 Bickford Ave. Suite Phone #: 4255534328 103-148 Snohomish WA 98290 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: mechanical-Mcdonald Description of Work: installation of ductless heat pump Project Details HVAC Systems Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Scope of Work Mechanical left side of house and head units are in main living spaces Page 2 of 2