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Application_1168782CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1168782 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 (206) 783-9115 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 (206) 783-9115 State License Number License Expiration Date SUTTEHH132JM 9/1/2023 UBI # E-mail Address FDmA47g1 install@sutterhearth.com Project Location Number Street 8707 189TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00726000000300 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 Shaun S Savory Number Street 8707 189TH PL SW Apartment or Suite Number City State EDMONDS WA Zip 98026-5927 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: 7/6/2022 Submitted By: Daniel Hammer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1168782 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Gas 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