Application_1022005CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1022005
Applicant
First Name
COREY
Last Name
ALEXANDER
Company Name
Infrasource Services
Number Street
1660 Park Lane
Apartment or Suite Number E-mail Address
corey.alexander@pse.com
City State
Burlington WA
Zip
98233
Phone Number Extension
4255164388
Contractor
Company Name
Infrasource Services LLC
Number Street
1660 Park Lane
Apartment or Suite Number
City
Burlington
State Zip
WA 98233
Phone Number Extension
(425) 466-4771
State License Number
INFRASL871C2
License Expiration Date
2/22/2023
UBI # E-mail Address
FD:199gssR corey.alexander@pse.com
Project Location
Number Street
1241 VISTA WAY
Floor Number Suite or Room Number
City
EDMONDS
Zip Code
98020
County Parcel Number
00507000001600
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Edward G & Theresa A
Last Name or Company Name
Brock
Number Street
1241 VISTA WAY
Apartment or Suite Number
City
EDMONDS
State
WA
Zip
98020-2989
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: 9/20/2021 Submitted By: COREY ALEXANDER
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1022005
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: 1 st floor, 1 st
Master Bath, Garage)
Page 2 of 2