BLD2021-0981_Application_7.15.2021_11.02.45_AM_2302287CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #991519 - KAYSEN
Applicant
First Name Last Name Company Name
Gary Parker PARKER BROS HEATING LLC
Number Street Apartment or Suite Number E-mail Address
13630 54th Dr NE admin@parkerbrosheating.com
City State Zip Phone Number Extension
Marysville WA 98271 3605720108
Contractor
Company Name
PARKER BROS HEATING LLC
Number Street Apartment or Suite Number
13630 54TH DR NE
City State Zip Phone Number Extension
MARYSVILLE WA 98271 360-572-0108
State License Number License Expiration Date UBI # E-mail Address
PARKEBH823JF 5/5/2022 FD49RFD79 admin@parkerbrosheating.com
Project Location
Number Street Floor Number Suite or Room Number
19021 DELLWOOD DR
City Zip Code County Parcel Number
EDMONDS 98026 00418000002600
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
James H Kaysen
Number Street Apartment or Suite Number
19021 DELLWOOD DR
City State Zip
EDMONDS WA 98026-6040
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: 7/15/2021 Submitted By: Gary Parker
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #991519 - KAYSEN
Project Contact
Company PARKER BROS
Name: HEATING
Name: NATALIE POMPA Email: NATALIE@PARKERBROSELECTRIC.COM
Address: 13630 54TH DR NE Phone #: 360-572-0108
MARYSVILLE WA
98271
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Name: KAYSEN
Description of Work: INSTALL DUCTLESS HEAT PUMP - ONE (1) OUTDOOR UNIT AND TWO (2)
INDOOR HEAD UNITS IN MASTER BEDROOM AND LIVING ROOM
Project Details
HVAC Systems
Heat Pump 1
Work Location
Work Description/Location (example: 1st floor, OUTSIDE
Master Bath, Garage)
Page 2 of 2