Application_2021-1390CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1031814
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 9/1/2023
UBI # E-mail Address
FDmA47g1 install@sutterhearth.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: 10/8/2021 Submitted By: Drew Stancliffe
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1031814
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
Heaters
Fireplace Insert - Gas 1
Work Location
Work Description/Location (example: 1 st floor, 1st floor masonry fireplace.
Master Bath, Garage)
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