Application_983078CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #983078
Applicant
First Name Last Name Company Name
Erin Gross
Number Street Apartment or Suite Number E-mail Address
17303 72nd Ave W erin.danae.gross@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 2069498222
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
17303 72ND AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00513100013803
Associated Building Permit Number Tenant Name
956897
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Mark F & Erin D Gross
Number Street Apartment or Suite Number
17303 72ND AVE W
City State Zip
EDMONDS WA 98026
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: 6/25/2021 Submitted By: Erin Gross
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #983078
Project Type
Single Family Residential
Project Details
HVAC Systems
Ventilation System
Work Location
Activity Type Scope of Work
Alteration Mechanical
Work Description/Location (example: 1 st floor, Whole house relocation of vent. Ducting in place and to
Master Bath, Garage) remain
Page 2 of 2