BLD2022-0208+Application+2.17.2022_9.13.19_PM+2689051CITY OF EDMONDS nnyst,ilaingPermit.com
Mechanical Application #1095072 - 9017 Park RD
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
206-249-3369
Contractor
Company Name
VANDERYACHT PROPANE INC
Number Street
Apartment or Suite Number
6811 Guide Meridain
City State Zip
Phone Number Extension
Lynden WA 98264
360-398-1234 360-707-5550
State License Number License Expiration Date
UBI # E-mail Address
VANDEP1055ND 6/22/2023
601512650 annamarie.askren(a-)_gmail.com
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
L&13744788P,
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Annamarie E & Holmes Aaron D 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. 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: 2/17/2022 Submitted By: Annamarie Askren
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1095072 - 9017 Park RD
Project Contact
Company Name:
Name: Annamarie Askren
Address: 9017 Park RD
EDMONDS WA 98026
Project Type
Single Family Residential
Project Name: 9017 Park RD
Email: annamarie.askren@gmail.com
Phone #: 206-249-3369
Activity Type Scope of Work
New Mechanical
This project is the Installation of a new 120 gallon propane tank pad and tank sited on the
Description of property of a single family residential home. Installation of tank and pad is to be performed by
Work: Vanderyacht Propane (city business license is in work). Gas piping and fireplace installation
permit is separately tracked in BLD2022-0189 and is being done by homeowner. Electrical
permit is 3744788P.
Project Details
Appliances and Equipment
Generator 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor, Northern exterior of house
Master Bath, Garage)
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