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Application_1044856CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1044856 Applicant First Name Last Name OLEG TARASOV Company Name 1ST PROSERVICE LLC Number Street 19007 133rd st Ct E Apartment or Suite Number E-mail Address proservice.wa@gmail.com City State Zip Bonneylake WA 98391 Phone Number Extension 2064952060 Contractor Company Name 1ST PROSERVICE LLC Number Street 19007 133rd St Ct E Apartment or Suite Number City State Zip Bonney lake WA 98391 Phone Number Extension (206) 495-2060 State License Number License Expiration Date 1 STPRPL807JS 4/3/2022 UBI # E-mail Address BD45RgRR 1 proservice.wa@gmail.com Project Location Number Street 21429 89TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00505300001000 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 Wai Sze Aliza & Tsz Chun Wong Number Street 22511 80TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026-8201 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: 11/5/2021 Submitted By: OLEG TARASOV Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1044856 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Kitchen Master Bath, Garage) Page 2 of 2