Application_1227713CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1227713
Applicant
First Name Last Name
Cathy Gibbins
Company Name
Number Street
7320 164th pl sw
Apartment or Suite Number E-mail Address
cagibbins@comcast.net
City State Zip
Edmonds WA 98026
Phone Number Extension
(206) 235-4836
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� cagibbins@comcast.net
Project Location
Number Street
7320 164TH PL SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00461600000600
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
Malcolm M & Gibbins Catherine A Harnois
Number Street
7320 164TH PL SW
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026-4931
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: 11/9/2022 Submitted By: Cathy Gibbins
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1227713
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
Heaters
Fireplace Insert - Gas
Work Location
Work Description/Location (example: 1st floor, Basement
Master Bath, Garage)
Page 2 of 2