Application_BLD2021-1171CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1196511
Applicant
First Name Last Name Company Name
Chad Schuster
Number Street Apartment or Suite Number E-mail Address
17620 72nd Ave W chad8680@yahoo.com
City State Zip Phone Number Extension
Edmonds WA 98026 (206) 799-2574
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
17620 72ND AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00513600000200
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
Chad & Kelly Schuster
Number Street Apartment or Suite Number
17620 72ND AVE 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, 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: 9/1/2022 Submitted By: Chad Schuster
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1196511
Project Type Activity Type Scope of Work
Single Family Residential New Mechanical
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor, Need permit for gas line connection from meter to
Master Bath, Garage) house.
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