BLD2021-0751_Application_6.2.2021_12.55.38_PM_2228168CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #971609 - 22042 99th PI W
Applicant
First Name Last Name Company Name
Karen Matheney Washington Energy Services Company, LLC
Number Street Apartment or Suite Number E-mail Address
3909 196th St SW permits@washingtonenergy.com
City State Zip Phone Number Extension
Lynnwood WA 98036 2063786648
Contractor
Company Name
WASHINGTON ENERGY SVCS CO LLC
Number Street Apartment or Suite Number
3909 196th St SW
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 378-6648
State License Number License Expiration Date UBI # E-mail Address
WASHIES851 NS 9/7/2021 Fini.r;97ni9 permits@washingtonenergy.com
Project Location
Number Street Floor Number Suite or Room Number
22042 99TH PL W
City Zip Code County Parcel Number
EDMONDS 98020 00602100100500
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
Asher B & Nancy Z Ttee Hershey
Number Street Apartment or Suite Number
22042 99TH 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: 6/2/2021 Submitted By: Karen Matheney
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #971609 - 22042 99th PI W
Project Contact
Company Name: Washington Energy Services
Company, LLC
Name: Karen Matheney Email: permits@washingtonenergy.com
Address: 3909 196th St SW Phone #: 2063786648
Lynnwood WA 98036
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Name: 22042 99th PI W
Description of Work: INSTALLING AC
Project Details
HVAC Systems
Air Conditioner 1
Work Location
Work Description/Location (example: 1 st floor, 1ST FLOOR
Master Bath, Garage)
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