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Application_1039975CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1039975 Applicant First Name Last Name Company Name Joe Martin D/B Solutions Number Street Apartment or Suite Number E-mail Address 2100 196th Street SW 122 joe@dbsolutionsnw.net City State Zip Phone Number Extension Lynnwood WA 98036 (425)744-6300 Contractor Company Name DB SOLUTIONS Number Street Apartment or Suite Number 2100 196th St SW Suite 122 City State Zip Phone Number Extension Lynnwood WA 98036 (425) 744-6300 State License Number License Expiration Date UBI # E-mail Address DBSOLSL934BK 1/30/2023 FDgBR7D64 joe@dbsolutionsnw.net Project Location Number Street Floor Number Suite or Room Number 17804 VISTA DEL MAR DR City Zip Code County Parcel Number EDMONDS 98026 00914200000800 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 Charles H & Diane L Ttee Bundrant Number Street Apartment or Suite Number 17802 VISTA DEL MAR DR City State Zip EDMONDS WA 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: 10/25/2021 Submitted By: Joe Martin Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1039975 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, From gas meter along exterior then through crawlspace Master Bath, Garage) to future generator location Page 2 of 2