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Application_BLD2022-1485CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1222560 Applicant First Name Last Name Chris Langford Company Name All Points Heating and Fireplace Number Street 4332 Chennault Beach Rd Apartment or Suite Number E-mail Address chrisl@allpointsheating.com City State Zip Mukilteo WA 98275 Phone Number Extension (425) 691-0862 Contractor Company Name All Points Heating & Fireplace Number Street 4332 Chennault Beach Rd Apartment or Suite Number City State Zip Mukilteo WA 98275 Phone Number Extension (425) 821-3333 State License Number License Expiration Date ALLPOPH904QK 9/9/2023 UBI # E-mail Address BD99A78.1, chrisl@allpointsheating.com Project Location Number Street 204 4TH AVE N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434400201200 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 Steven J & Leanne D Shelton Number Street 204 4TH AVE N Apartment or Suite Number City State EDMONDS WA Zip 98020-3116 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: 10/28/2022 Submitted By: Chris Langford Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1222560 Project Type Single Family Residential Project Details HVAC Systems Furnace Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Crawl space. Master Bath, Garage) Scope of Work Mechanical Page 2 of 2