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Application_988338CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #988338 Applicant First Name Last Name Brian Lee Company Name Sundance Energy Services Inc Number Street 10228 Main Street Apartment or Suite Number E-mail Address brianl@sundanceenergy.com City State Zip Bothell WA 98011 Phone Number Extension 4254819660 Contractor Company Name Sundance Energy Services Inc Number Street 10228 Main Street Apartment or Suite Number City State Zip Bothell WA 98011 Phone Number Extension (425) 481-9660 State License Number License Expiration Date SUNDAES063J9 9/12/2021 UBI # E-mail Address BD15416:37 kevinl@sundanceenergy.com Project Location Number Street 1046 WALNUT ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434203501000 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 Michael A & Catherine Powers Number Street 18427 88TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026-5708 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: 7/8/2021 Submitted By: Brian Lee Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #988338 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, Installing a gas fireplace insert in living room - Including Master Bath, Garage) 1 Oft of gas piping Page 2 of 2