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Application_BLD2023-0047CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1253484 Applicant First Name Angela Last Name Company Name Puerschner EVEN FLO HEATING AIR CONDITIONING Number Street 2184 Apartment or Suite Number E-mail Address alan@evenfloheating.com City State LYNNWOOD WA Zip Phone Number Extension 98036 (425) 381-0400 Contractor Company Name Even Flo Heating and A/C Number Street 2184 Apartment or Suite Number City LYNNWOOD State Zip Phone Number Extension WA 98036 (425) 381-0400 State License Number EVENFFH895L9 License Expiration Date UBI # E-mail Address 6/29/2023 BD941iR51 clan@evenfloheating.com Project Location Number Street 18526 83RD AVE W Floor Number Suite or Room Number City EDMONDS Zip Code County Parcel Number 98026 00567700000400 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Michael B & Karen S Last Name or Company Name Rohrbach Number Street 18526 83RD AVE W Apartment or Suite Number City EDMONDS State Zip WA 98026 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: 1/12/2023 Submitted By: Angela Puerschner Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1253484 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, 1st floor Master Bath, Garage) Page 2 of 2