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Application_BLD2022-1260CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1205513 Applicant First Name Last Name Charity Teeters Company Name Advanced Installation Number Street PO 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 PO 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.,i adv1@advancedinstallation.net Project Location Number Street 23923 101 ST PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00589100001500 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 Barbara Snyder Number Street 23923 101 ST PL W Apartment or Suite Number City State EDMONDS WA Zip 98020-5711 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: 9/21/2022 Submitted By: Charity Teeters Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1205513 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Heaters Fireplace Insert - Gas Work Location Work Description/Location (example: 1st floor, main floor Master Bath, Garage) Page 2 of 2