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Application_1091802CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1091802 Applicant First Name Last Name Company Name Annamarie Askren Number Street Apartment or Suite Number E-mail Address 9017 Park RD annamarie.askren@gmail.com City State Zip Phone Number Extension EDMONDS WA 98026 2062493369 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 9017 PARK RD City Zip Code County Parcel Number EDMONDS 98026 00648100000500 Associated Building Permit Number Tenant Name Electrical Permit Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Annamarie Askren Number Street Apartment or Suite Number 9017 PARK RD 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: 2/12/2022 Submitted By: Annamarie Askren Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1091802 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Associated Building Permit? There is no other onsite work that requires a building permit. Other Zero Clearance Gas Fireplace Work Location Work Description/Location (example: 1st floor, Downstairs recreation room Master Bath, Garage) Page 2 of 2