Application_946947CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #946947
Applicant
First Name Last Name Company Name
james leach
Number Street Apartment or Suite Number E-mail Address
18628 94th ave w jimleach3@gmail.com
City State Zip Phone Number Extension
edmonds WA 98020 4406669647
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
18628 94TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00398900000200
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
Tara and James Sharma and Leach
Number Street Apartment or Suite Number
18628 94th Ave 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: 4/9/2021 Submitted By: james leach
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #946947
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Work Location
Work Description/Location (example: 1 st floor, from meter through crawl to master with outlets leading
Master Bath, Garage) to the kitchen and upper deck.
Page 2 of 2