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Application_2021-0990CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #992191 Applicant First Name Last Name Drew Stancliffe Company Name Sutter Home and Hearth Inc Number Street 920 NW Leary Way Apartment or Suite Number E-mail Address install@sutterhearth.com City State Zip Seattle WA 98107 Phone Number Extension 2067839115 317 Contractor Company Name SUTTER HOME & HEARTH INC Number Street 920 NW Leary Way Apartment or Suite Number City State Zip Seattle WA 98107 Phone Number Extension (206) 783-9115 State License Number License Expiration Date SUTTEHH132JM 9/1/2021 UBI # E-mail Address FDmA47g1 install@sutterhearth.com Project Location Number Street 643 9TH AVE N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032400221000 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 Randy & Deborah Johnson Number Street 643 9TH AVE N Apartment or Suite Number City State EDMONDS WA Zip 98020-3039 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: 7/16/2021 Submitted By: Drew Stancliffe Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #992191 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Gas Work Location Activity Type Scope of Work Alteration Mechanical Work Description/Location (example: 1 st floor, Provide and install a direct vent gas insert on the main Master Bath, Garage) floor Page 2 of 2