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Application_1152544CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1152544 Applicant First Name Last Name Charity Teeters Company Name Advanced Installation Number Street P.O Box 1229 Apartment or Suite Number E-mail Address adv1 @advanced installation. net City State Zip Clinton WA 98236 Phone Number Extension (425) 745-5977 Contractor Company Name ADVANCED INSTALLATION INC Number Street P.O Box 1229 Apartment or Suite Number City State Zip Clinton WA 98236 Phone Number Extension (425) 745-5977 State License Number License Expiration Date ADVAN11033DU 3/13/2024 UBI # E-mail Address FD174gDq� adv1@advancedinstallation.net Project Location Number Street 7505 184TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00477600003601 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 Mark B Yeadon Number Street 7505 184TH PL SW Apartment or Suite Number City State EDMONDS WA Zip 98026-5827 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: 6/2/2022 Submitted By: Charity Teeters Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1152544 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, Installation of a Travis industries 616 gas fireplace Master Bath, Garage) insert into living area Page 2 of 2