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Application_2022-0469CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1123822 Applicant First Name Last Name Daniel Hammer Company Name Sutter Home and Hearth Inc Number Street 920 NW Leary Way Apartment or Suite Number E-mail Address install@sutterhearth.com City State Zip Seattle WA 98107 Phone Number Extension 2067839115 317 Contractor Company Name SUTTER HOME & HEARTH INC Number Street 920 NW Leary Way Apartment or Suite Number City State Zip Seattle WA 98107 Phone Number Extension 2067839115 State License Number License Expiration Date SUTTEHH132JM 9/1/2023 UBI # E-mail Address FDmA47g1 install@sutterhearth.com Project Location Number Street 17715 76TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00513600002100 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 Claire Jeanne Hinman Number Street 17715 76TH AVE 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: 4/13/2022 Submitted By: Daniel Hammer Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1123822 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Wood Work Location Activity Type Scope of Work Alteration Mechanical Work Description/Location (example: 1st floor, Living room fireplace. Master Bath, Garage) Page 2 of 2