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Application_1140985CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1140985 Applicant First Name Last Name Company Name Jacob Markley Puget Sound Gas Works Number Street Apartment or Suite Number E-mail Address 2317 Twin PL pugetsoundgasworks@gmail.com City State Zip Phone Number Extension Anacortes WA 98221 4253435566 Contractor Company Name PUGET SOUND GAS WORKS LLC Number Street Apartment or Suite Number 2317 TWIN PLACE City State Zip Phone Number Extension ANACORTES WA 98221 (425) 343-5566 State License Number License Expiration Date UBI # E-mail Address pugetsg851 n6 9/8/2023 Fn.i.r;9R7S� pugetsoundgasworks@gmail.com Project Location Number Street Floor Number Suite or Room Number 8028 CYRUS PL City Zip Code County Parcel Number EDMONDS 98026 00594400008503 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 Everett Cynthia M & Everett M Mcdonald Number Street Apartment or Suite Number 8028 CYRUS PL 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, 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: 5/11/2022 Submitted By: Jacob Markley Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1140985 Project Type Single Family Residential Project Details Other Firepits Work Location Activity Type Scope of Work Alteration Mechanical Work Description/Location (example: 1 st floor, The gas line work is being done outside, for 2 natural Master Bath, Garage) gas firepits. Page 2 of 2