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BLD2022-0618_Application_5.10.2022_8.32.01_PM_2861149CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1140458 - Fireplace insert Applicant First Name Last Name Company Name Kori Postlewaite Number Street Apartment or Suite Number E-mail Address 19730 86TH PL W kori.postlewaite@gmail.com City State Zip Phone Number Extension EDMONDS WA 98026 8589995882 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 19730 86TH PL W City Zip Code County Parcel Number EDMONDS 98026 00565200001000 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 Kori & Gregory Postlewaite Number Street Apartment or Suite Number 19730 86TH PL W 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: 5/10/2022 Submitted By: Kori Postlewaite Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1140458 - Fireplace insert Project Contact Company Name: Name: Address: Greg Postlewaite 19730 86TH PL W EDMONDS WA 98026 Project Type Single Family Residential Email: gpostlewaite@gmail.com Phone #: 425-736-4976 Activity Type Scope of Work Alteration Plumbing Project Name: Fireplace insert Description of Work: Extending existing gas line that is currently next to the chimney into the chimney for installation of gas fireplace insert. Project Details Scope of Work Plumbing Fixtures for Building Permit Piping Gas Piping Outlets - Plum 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, For new gas fireplace insert in home, gas line is already Master Bath, Garage) next to chimney. Will be extending existing gas line to the chimney for the fireplace insert on 1 st floor. Page 2 of 2