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Application_1428705CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1428705 Applicant First Name Last Name Company Name PERMIT COORDINATOR Blue Flame Htg Air & Electric Number Street Apartment or Suite Number E-mail Address 7116 220TH ST SW SUITE 1 INFO@BLUEFLAMECOMFORT.COM City State Zip Phone Number Extension MOUNTLAKE WA 98043 (425) 771-7139 Contractor Company Name RESCUE ROOTER Number Street Apartment or Suite Number 965 Ridge Lake Blvd Suite 201 City State Zip Phone Number Extension Memphis TN 38120 (425) 771-7139 (425) 771-7139 State License Number License Expiration Date UBI # E-mail Address BLUEFFH825RM 12/31/2024 FD1 9'17g4q INFO@BLUEFLAMECOMFORT.COM Project Location Number Street Floor Number Suite or Room Number 21324 93RD PL W City Zip Code County Parcel Number EDMONDS 98020 00781600000500 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 James & Andrea Hermanson Number Street Apartment or Suite Number 21324 93RD PL W City State Zip EDMONDS WA 98020 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: 1/16/2024 Submitted By: PERMIT COORDINATOR Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1428705 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details HVAC Systems Furnace Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, In crawl space Master Bath, Garage) Page 2 of 2