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BLD2021-0961_Application_7.12.2021_1.37.01_PM_2295435CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #989816 - Joseph AC Install Applicant First Name Last Name Company Name Joseph Xayamouangbo Bob's Heating Number Street Apartment or Suite Number E-mail Address 14148 NE 190th St jxayamouangbo@bobsheating.com City State Zip Phone Number Extension Woodinville WA 98072 8008403346 Contractor Company Name BOB'S HEATING & AIR CNDTNG LLC Number Street Apartment or Suite Number 14148 NE 190th St City State Zip Phone Number Extension Woodinville WA 98072 8008403346 State License Number License Expiration Date UBI # E-mail Address BOBSHHA853NQ 9/7/2021 BDi597n9R jxayamouangbo@bobsheating.com Project Location Number Street Floor Number Suite or Room Number 902 6TH AVE S City Zip Code County Parcel Number EDMONDS 98020 27032500211200 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 Mary Fran Joseph Number Street Apartment or Suite Number 902 6TH AVE S 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: 7/12/2021 Submitted By: Joseph Xayamouangbo Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #989816 - Joseph AC Install Project Contact Company Name: Bob's Heating Name: Joseph Xayamouangbo Email: jayamouangbo@bobsheating.com Address: 14148 NE 190th St Phone #: 8008403346 Woodinville WA 98072 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Joseph AC Install Description of Work: Add AC to existing hvac system Project Details HVAC Systems Air Conditioner Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Basement and outside yard Page 2 of 2