Application_1100425CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1100425
Applicant
First Name Last Name
Brian Lee
Company Name
Sundance Energy Services Inc
Number Street
10228 Main Street
Apartment or Suite Number E-mail Address
brianl@sundanceenergy.com
City State Zip
Bothell WA 98011
Phone Number Extension
4254819660
Contractor
Company Name
Sundance Energy Services Inc
Number Street
10228 Main Street
Apartment or Suite Number
City State Zip
Bothell WA 98011
Phone Number Extension
(425) 481-9660
State License Number License Expiration Date
SUNDAES063J9 9/13/2023
UBI # E-mail Address
BD15416:37 kevinl@sundanceenergy.com
Project Location
Number Street
19220 80TH PL W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00572700000800
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
Nghi Van & Sally Quach Nguyen
Number Street
19220 80TH PL W
Apartment or Suite Number
City State
EDMONDS WA
Zip
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: 3/1/2022 Submitted By: Brian Lee
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1100425
Project Type
Single Family Residential
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Heaters
Fireplace Insert - Gas
Associated Building Permit?
Activity Type Scope of Work
Alteration Mechanical
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor, Installing a new gas fireplace insert in family room
Master Bath, Garage)
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