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Application_1007104CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1007104 Applicant First Name Last Name Scott Zaro Company Name Choice Home Services, Inc. Number Street P O Box 494 Apartment or Suite Number E-mail Address scottazaro@gmail.com City State Zip Snohomish WA 98291-0494 Phone Number Extension 3605687900 Contractor Company Name CHOICE HOME SERVICES INC Number Street P O Box 494 Apartment or Suite Number City State Zip Snohomish WA 98291 Phone Number Extension 3605687900 State License Number License Expiration Date CHOICHS033BU 2/26/2023 UBI # E-mail Address FDI7RFDDR scottazaro@gmail.com Project Location Number Street 748 15TH WAY Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00389900000500 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 Trevor E & Mary Z Jazierski Number Street 748 15TH WAY 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: 8/17/2021 Submitted By: Scott Zaro Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1007104 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Work Description/Location (example: 1st floor, Gas piping from meter to freestanding gas fireplace Master Bath, Garage) Page 2 of 2