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Application_1033398CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1033398 Applicant First Name matt Last Name swetman Company Name Snohomish furnace & air Number Street 9804 chapel hill rd Apartment or Suite Number E-mail Address matt@snohomishfurnace.com City State lake Stevens WA Zip 98258 Phone Number Extension (425) 610-6635 Contractor Company Name Snohomish Furnace & Air LLC Number Street 9804 chapel hill rd Apartment or Suite Number City lake Stevens State Zip WA 98258 Phone Number Extension (425) 610-6635 State License Number snohofa860ob License Expiration Date 9/14/2022 UBI # E-mail Address F;n.m95R4F; matt@snohomishfurnace.com Project Location Number Street 24216 104TH PL W Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00564900402400 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Serena Last Name or Company Name Hillman Number Street 24216 104TH PL W Apartment or Suite Number City EDMONDS State WA Zip 98020 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: 10/12/2021 Submitted By: matt swetman Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1033398 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, laundry room closet Master Bath, Garage) Scope of Work Mechanical Page 2 of 2