Application_1230293CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1230293
Applicant
First Name Last Name Company Name
Karen Matheney Washington Energy Services Company, LLC
Number Street Apartment or Suite Number E-mail Address
3909 196th St SW permits@washingtonenergy.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 378-6648
Contractor
Company Name
WASHINGTON ENERGY SVCS CO LLC
Number Street Apartment or Suite Number
3909 196th St SW
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 378-6648
State License Number License Expiration Date UBI # E-mail Address
WASHIES851 NS 9/7/2023 Fini.r;97ni9 permits@washingtonenergy.com
Project Location
Number Street Floor Number Suite or Room Number
10119 236TH PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00405700000700
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
Theresa Westbrook
Number Street Apartment or Suite Number
10119 236TH PL SW
City State Zip
EDMONDS WA 98020-5733
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: 11/15/2022 Submitted By: Karen Matheney
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1230293
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: 1 st floor, 1 st floor
Master Bath, Garage)
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