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Application_2021-0766CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #973212 Applicant First Name Last Name Company Name Sean Wellnitz Number Street Apartment or Suite Number E-mail Address 9622 236th PL SW sean.well@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 2066792724 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 9622 236TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00446400200900 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 Sean Wellnitz Number Street Apartment or Suite Number 9622 236TH PL SW 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: 6/5/2021 Submitted By: Sean Wellnitz Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #973212 Project Type Single Family Residential Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, gas line replacement Master Bath, Garage) Scope of Work Mechanical Page 2 of 2