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Application_1209082CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1209082 Applicant First Name Last Name David Winters Company Name Number Street 342 Sunset Ave N Apartment or Suite Number E-mail Address windavid@gmail.com City State Zip Edmonds WA 98020 Phone Number Extension (206) 898-2164 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� adv2@advancedinstallation.net Project Location Number Street 342 SUNSET AVE Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032300100600 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 David\ Heidiann Winters Number Street 342 SUNSET AVE N 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: 9/29/2022 Submitted By: David Winters Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1209082 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Wood Work Location Activity Type Scope of Work Alteration Mechanical Work Description/Location (example: 1 st floor, Main floor fireplace wood fire insert and chimney liner. Master Bath, Garage) Page 2 of 2