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Application_1166813CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1166813 Applicant First Name Last Name Michael Pierce Company Name Number Street 18702 94th Ave W Apartment or Suite Number E-mail Address mandkpierce@comcast.net City State Zip Edmonds WA 98020 Phone Number Extension (425) 672-8093 Contractor Company Name ADVANCED INSTALLATION INC Number Street 16504 Highway 99 Apartment or Suite Number #101 City State Zip Lynnwood WA 98037 Phone Number Extension (425) 745-5977 State License Number License Expiration Date ADVAN11033DU 3/13/2024 UBI # E-mail Address FD174gDq� mandkpierce@comcast.net Project Location Number Street 18702 94TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434600006602 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 Michael F & Kay Pierce Number Street PO BOX 249 Apartment or Suite Number City State EDMONDS 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: 6/30/2022 Submitted By: Michael Pierce Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1166813 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Gas Work Location Activity Type Repair or Replacement Work Description/Location (example: 1 st floor, Living room, 1 st floor Master Bath, Garage) Scope of Work Mechanical Page 2 of 2