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Application_BLD2022-1646CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1237593 Applicant First Name Last Name Ally Turner Company Name Lifetime Heating & Air Conditioning Number Street 2801 Bickford Ave. Apartment or Suite Number E-mail Address Suite 103-148 allyt@lifetimeheating.com City State Zip Snohomish WA 98290 Phone Number Extension (425) 553-4328 Contractor Company Name LIFETIME HEATING & AIR CNDTNG Number Street 5413 PANTHER LAKE RD Apartment or Suite Number City State Zip SNOHOMISH WA 98290 Phone Number Extension 4255534328 State License Number License Expiration Date LIFETHA8201_8 6/28/2024 UBI # E-mail Address BD4D54gBR allyt@lifetimeheating.com Project Location Number Street 1022 CAROL WAY Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00592700001000 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 Gregory E & Gayle A Szalay Number Street 1022 CAROL WAY Apartment or Suite Number City State EDMONDS WA Zip 98020-2940 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: 12/2/2022 Submitted By: Ally Turner Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1237593 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Gas Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, main living space Master Bath, Garage) Scope of Work Mechanical Page 2 of 2