Application_1112227CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1112227
Applicant
First Name
greg
Last Name
percy
Company Name
hearthside and home Ilc
Number Street
4829 196th st sw
Apartment or Suite Number E-mail Address
d hearthsideandhome@yahoo.com
City State
lynnwood WA
Zip
98036
Phone Number Extension
4257716434
Contractor
Company Name
hearthside and home Ilc
Number Street
4829 196th st sw
Apartment or Suite Number
d
City
lynnwood
State Zip
WA 98036
Phone Number Extension
(425) 771-6434
State License Number
HEARTHL868BC
License Expiration Date
1/3/2024
UBI # E-mail Address
F ig15R1R hearthsideandhome@yahoo.com
Project Location
Number Street
814 PUGET WAY
Floor Number Suite or Room Number
City
EDMONDS
Zip Code
98020
County Parcel Number
00496000000700
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Michael & Roppo Pamela K
Last Name or Company Name
Trettevik
Number Street
814 PUGET WAY
Apartment or Suite Number
City
EDMONDS
State
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: 3/22/2022 Submitted By: greg percy
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1112227
Project Type
Single Family Residential
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Heaters
Fireplace Insert - Gas
Work Location
Activity Type Scope of Work
Alteration Mechanical
Work Description/Location (example: 1 st floor, 70' gas line across attic space to masonry fireplace.
Master Bath, Garage) Direct Vent, propane gas insert into masonry fireplace
in living room.
Page 2 of 2