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Application_952865CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #952865 Applicant First Name Last Name Ivan Baka Company Name Five Star Comfort, LLC Number Street 2209 Bedalln Apartment or Suite Number E-mail Address FiveStarsComfort@gmail.com City State Zip Everett WA 98208 Phone Number Extension (425) 344-5438 Contractor Company Name FIVE STAR COMFORT LLC Number Street 2209 Bedalln Apartment or Suite Number City State Zip Everett WA 98208 Phone Number Extension (425) 344-5438 State License Number License Expiration Date FIVESSC881 L2 6/22/2022 UBI # E-mail Address F;n19nR7l R FiveStarsComfort@gmail.com Project Location Number Street 22423 100TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00450700500014 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 Richard A & Cynthia A Tomkins Number Street 211 5TH AVE N Apartment or Suite Number City State EDMONDS WA Zip 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: 4/21/2021 Submitted By: Ivan Baka Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #952865 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details HVAC Systems Air Handler 10,000 CFM or less 1 Work Location Work Description/Location (example: 1st floor, Basement, attic, crawl space. Master Bath, Garage) Page 2 of 2