Application_1043367CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1043367
Applicant
First Name Last Name
Jacob Markley
Company Name
Puget Sound Gas Works
Number Street
2317 Twin PL
Apartment or Suite Number E-mail Address
pugetsoundgasworks@gmail.com
City State Zip
Anacortes WA 98221
Phone Number Extension
4253435566
Contractor
Company Name
PUGET SOUND GAS WORKS LLC
Number Street
2317 TWIN PLACE
Apartment or Suite Number
City State Zip
ANACORTES WA 98221
Phone Number Extension
(425) 343-5566
State License Number License Expiration Date
pugetsg851 n6 9/8/2023
UBI # E-mail Address
Fn.i.r;7R7s� pugetsoundgasworks@gmail.com
Project Location
Number Street
627 GILTNER LN
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
27032400222600
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
Christopher A & Gutenplan Julie L Taffera
Number Street
627 GILTNER LANE
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: 11/1/2021 Submitted By: Jacob Markley
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1043367
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Details
Heaters
Fireplace Insert - Gas
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor, We are running a gas line from the meter to a fireplace.
Master Bath, Garage)
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