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Application_2021-1158CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1008813 Applicant First Name Last Name Gary Parker Company Name PARKER BROS HEATING LLC Number Street 13630 54th Dr NE Apartment or Suite Number E-mail Address admin@parkerbrosheating.com City State Zip Marysville WA 98271 Phone Number Extension 3605720108 Contractor Company Name PARKER BROS HEATING LLC Number Street 13630 54TH DR NE Apartment or Suite Number City State Zip MARYSVILLE WA 98271 Phone Number Extension 360-572-0108 State License Number License Expiration Date PARKEBH823JF 5/5/2022 UBI # E-mail Address FD49RFD79 admin@parkerbrosheating.com Project Location Number Street 8912 192ND ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27041800303700 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 Gaetan R & Binder Deborah J Veilleux Number Street 8816 207TH PL SW Apartment or Suite Number City State EDMONDS WA Zip 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: 8/20/2021 Submitted By: Gary Parker Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1008813 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, outside Master Bath, Garage) Page 2 of 2