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Application_1176575CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1176575 Applicant First Name Last Name Company Name Georgiy Abdulfaizov GEORGE GAS PIPING LLC Number Street Apartment or Suite Number E-mail Address 601 12th AVE NW E-4 georgegaspiping@gmail.com City State Zip Phone Number Extension Issaquah WA 98027 (425) 577-2452 Contractor Company Name GEORGE GAS PIPING LLC Number Street Apartment or Suite Number 601 12TH AVE NW E4 City State Zip Phone Number Extension ISSAQUAH WA 98027 (425) 577-2452 State License Number License Expiration Date UBI # E-mail Address GEORGGP849JQ 4/18/2024 F;n:3F;n7gnF; georgegaspiping@gmail.com Project Location Number Street Floor Number Suite or Room Number 9809 220TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00637000000400 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 TOTH LLC Number Street Apartment or Suite Number 16827 SE 34TH ST City State Zip BELLEVUE WA 98008 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: 7/21/2022 Submitted By: Georgiy Abdulfaizov Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1176575 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech 4 Work Location Work Description/Location (example: 1 st floor, New gas line for the furnace, cook top and 2 fireplaces Master Bath, Garage) from gas meter to basement through garage. Page 2 of 2