Application_2021-1243CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1015688
Applicant
First Name Last Name
Valura Brashears
Company Name
Lifetime Heating & Air Conditioning
Number Street
2801 Bickford Ave.
Apartment or Suite Number E-mail Address
Suite 103-148 valurab@lifetimeheating.com
City State Zip
Snohomish WA 98290
Phone Number Extension
4255534328
Contractor
Company Name
REFINED HEATING & A/C
Number Street
5413 PANTHER LAKE RD
Apartment or Suite Number
City State Zip
SNOHOMISH WA 98290
Phone Number Extension
(425)359-5687
State License Number License Expiration Date
LIFETHA8201_8 6/28/2022
UBI # E-mail Address
RD4D54gBR valurab@lifetimeheating.com
Project Location
Number Street
24305 87TH PL W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00665900000500
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
Waltengus T Talema
Number Street
24305 87TH PL W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026-9005
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: 9/7/2021 Submitted By: Valura Brashears
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1015688
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
HVAC Systems
Furnace
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage) garage
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