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BLD2022-0013_Application_1.5.2022_3.46.15_PM_2605339CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1072416 - Sanchez Applicant First Name Last Name Company Name Kevin McBride Anderson Installation. Inc. Number Street Apartment or Suite Number E-mail Address 14616 Smokey Point Blvd andersonfireplace 1 @hotmail.com City State Zip Phone Number Extension Marysville WA 98271 3606517900 1 Contractor Company Name ANDERSON INSTALLATION INC Number Street Apartment or Suite Number 14616 Smokey Point Blvd City State Zip Phone Number Extension Marysville WA 98271 360-651-7900 360-707-5225 State License Number License Expiration Date UBI # E-mail Address ANDER11961 LT 7/14/2022 FD9,iAF1 SD andersonfireplace 1 @hotmail.com Project Location Number Street Floor Number Suite or Room Number 1231 12TH AVE N City Zip Code County Parcel Number EDMONDS 98020 00606600002000 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 Loren & Sanchez Susan L Mcphillips Number Street Apartment or Suite Number 1231 12TH AVE N City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 1/5/2022 Submitted By: Kevin McBride Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1072416 - Sanchez Project Contact Company Name: Anderson Installation. Inc. Name: Kevin McBride Email: andersonfireplace1@hotmail.com Address: 14616 Smokey Point Phone #: 3606517900 1 Blvd Marysville WA 98271 Project Type Single Family Condominium Unit Project Name: Sanchez Description of Work: Install direct vent gas insert Project Details Activity Type Scope of Work Alteration Mechanical Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Living room Page 2 of 2