Application_1014707CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1014707
Applicant
First Name Last Name
Kevin McBride
Company Name
Anderson Installation. Inc.
Number Street
14616 Smokey Point Blvd
Apartment or Suite Number E-mail Address
andersonfireplace 1 @hotmail.com
City State Zip
Marysville WA 98271
Phone Number Extension
3606517900 1
Contractor
Company Name
ANDERSON INSTALLATION INC
Number Street
14616 Smokey Point Blvd
Apartment or Suite Number
City State Zip
Marysville WA 98271
Phone Number Extension
360-651-7900 360-707-5225
State License Number License Expiration Date
ANDER11961 LT 7/14/2022
UBI # E-mail Address
FD9,iAF1 SD andersonfireplace 1 @hotmail.com
Project Location
Number Street
960 CEDAR ST
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
27032500101200
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
Gerald L Lloyd
Number Street
960 CEDAR ST
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: 9/2/2021 Submitted By: Kevin McBride
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1014707
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: 1st floor, Living room
Master Bath, Garage)
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