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Application_1078569CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1078569 Applicant First Name Last Name Paul White Company Name All American Chimney Service Number Street 29222 112th Ave SE Apartment or Suite Number E-mail Address allamerican.chimney@yahoo.com City State Zip Auburn WA 98092 Phone Number Extension (253)833-5534 Contractor Company Name ALL AMERICAN CHIMNEY SRVC/RPR Number Street 29222 112th Ave SE Apartment or Suite Number City State Zip Auburn WA 98092 Phone Number Extension (253) 833-5534 State License Number License Expiration Date ALLAMCSO44NK 12/7/2022 UBI # E-mail Address FD1799.189 allamerican.chimney@yahoo.com Project Location Number Street 729 MAIN ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434208703100 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 Mardee Coyle\darren Austin Number Street 729 MAIN ST 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: 1/19/2022 Submitted By: Paul White Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1078569 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, install gas line from the meter for gas logs in fireplace Master Bath, Garage) Page 2 of 2