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Application_1095877CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1095877 Applicant First Name Last Name Patrick Dickinson Company Name Service Plumbing and Heating Inc Number Street 2100 196th St SW Apartment or Suite Number E-mail Address info@serviceph.net City State Zip Lynnwood WA 98036 Phone Number Extension 4256402121 Contractor Company Name SERVICE PLUMBING & HEATING INC Number Street 2100 196th St SW Apartment or Suite Number City State Zip Lynnwood WA 98036 Phone Number Extension (425) 640-2121 State License Number License Expiration Date SERVIPH797NR 11/3/2023 UBI # E-mail Address FD99'1R671 info@serviceph.net Project Location Number Street 315 8TH AVE S Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434208501600 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 Susan E Dunn Number Street 315 8TH AVE N 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: 2/21/2022 Submitted By: Patrick Dickinson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1095877 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details Other Gas to Kitchen range Work Location Work Description/Location (example: 1st floor, Kitchen Master Bath, Garage) Page 2 of 2