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Application_1299034CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1299034 Applicant First Name Last Name Terry Clinton Company Name Fischer Plumbing Co Inc, The Number Street 6608 220th st sw Apartment or Suite Number E-mail Address fpdsl@nwlink.com City State Zip Mountlake terrace WA 98043 Phone Number Extension (206) 783-4129 2065104296 Contractor Company Name FISCHER HEATING & A/C INC Number Street 6608 220th st Sw Apartment or Suite Number City State Zip Mountlake terrace WA 98043 Phone Number Extension (206) 783-1190 State License Number License Expiration Date FISCHHC867NA 8/10/2024 UBI # E-mail Address Rnmi 597R fpdsl@nwlink.com Project Location Number Street 19007 84TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00481600401400 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 Rizal Vido S & Red Jessica Kristine Flores Number Street 19007 84TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 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: 4/13/2023 Submitted By: Terry Clinton Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1299034 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, Garage Master Bath, Garage) Page 2 of 2