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Application_1026262CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1026262 Applicant First Name Last Name Amanda Webster Company Name All Climate Heating and Air Conditioning Number Street 17527 NE 67th CT Apartment or Suite Number E-mail Address install@allclimate.net City State Zip Redmond WA 98052 Phone Number Extension 4257463077 Contractor Company Name ALL CLIMATE HEATING & A/C Number Street 17527 NE 67th CT Apartment or Suite Number City State Zip Redmond WA 98052 Phone Number Extension 425-746-3077 425-864-1368 State License Number License Expiration Date ALLCLCH966C6 2/26/2022 UBI # E-mail Address FD99R4D37 install@allclimate.net Project Location Number Street 17141 SEA LAWN DR Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00566100000900 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 Tad Helke Number Street 17141 LEA LAWN DR Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 9/28/2021 Submitted By: Amanda Webster Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1026262 Project Type Single Family Residential Project Details Appliances and Equipment Gas Piping Outlets - Mech Other range Work Location Activity Type Repair or Replacement Scope of Work Mechanical Work Description/Location (example: 1 st floor, Run gas piping for installation of a range Master Bath, Garage) Page 2 of 2