Application_943087CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #943087
Applicant
First Name Last Name
greg percy
Company Name
hearthside and home Ilc
Number Street
4829 196th st sw
Apartment or Suite Number E-mail Address
d hearthsideandhome@yahoo.com
City State Zip
lynnwood WA 98036
Phone Number Extension
4257716434
Contractor
Company Name
hearthside and home Ilc
Number Street
4829 196th st sw
Apartment or Suite Number
d
City State Zip
lynnwood WA 98036
Phone Number Extension
(425) 771-6434
State License Number License Expiration Date
H EARTHL868BC 1 /3/2022
UBI # E-mail Address
F;miq 15R 1 R hearthsideandhome@yahoo.com
Project Location
Number Street
841 CASPERS ST
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00418600000500
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
Aaron & Alison Shurts
Number Street
841 CASPERS
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: 3/31/2021 Submitted By: greg percy
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #943087
Project Type
Single Family Residential
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Heaters
Fireplace Insert - Gas
Work Location
Activity Type Scope of Work
Alteration Mechanical
Work Description/Location (example: 1 st floor, Masonry fireplace on main floor living room
Master Bath, Garage)
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