Application_963648CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #963648
Applicant
First Name Last Name
Charity Teeters
Company Name
Advanced Installation
Number Street
PO BOX 1229
Apartment or Suite Number E-mail Address
adv1 @advanced installation. net
City State Zip
CLINTON WA 98236
Phone Number Extension
(425) 745-5977
Contractor
Company Name
ADVANCED INSTALLATION INC
Number Street
PO BOX 1229
Apartment or Suite Number
City State Zip
CLINTON WA 98236
Phone Number Extension
(425) 745-5977
State License Number License Expiration Date
ADVAN11033DU 3/13/2022
UBI # E-mail Address
FD174gDq� adv1@advancedinstallation.net
Project Location
Number Street
9328 217TH ST SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00612900200100
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
Cynthia S Cook
Number Street
9328 217TH ST SW
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: 5/14/2021 Submitted By: Charity Teeters
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #963648
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: 1st floor, Living Room
Master Bath, Garage)
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