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Application_1408068CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1408068 Applicant First Name Last Name PERMIT COORDINATOR Company Name Blue Flame Htg Air & Electric Number Street 7116 220TH ST SW Apartment or Suite Number E-mail Address SUITE 1 INFO@BLUEFLAMECOMFORT.COM City State Zip MOUNTLAKE WA 98043 Phone Number Extension (425) 771-7139 Contractor Company Name RESCUE ROOTER Number Street 965 Ridge Lake Blvd Apartment or Suite Number Suite 201 City State Zip Memphis TN 38120 Phone Number Extension (253) 872-5330 (253) 872-4902 State License Number License Expiration Date BLUEFFH825RM 12/31/2024 UBI # E-mail Address FD1 9'17g4q INFO@BLUEFLAMECOMFORT.COM Project Location Number Street 629 ELM PL Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00736400001800 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 Barbara J Bower Number Street 629 ELM PL Apartment or Suite Number City State EDMONDS WA Zip 98020-4661 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: 11/22/2023 Submitted By: PERMIT COORDINATOR Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1408068 Project Type Activity Type Scope of Work Single Family Residential Alteration 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