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Application_1229615CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1229615 Applicant First Name Last Name Mark Cray Company Name The Metalsmiths, Inc. Number Street 7116 220th St SW Apartment or Suite Number E-mail Address Suite 10 markcrayl@hotmail.com City State Zip Mountlake Terrace WA 98043 Phone Number Extension (206) 362-3430 Contractor Company Name METALSMITHS INC, THE Number Street 7116 220th St SW Apartment or Suite Number Suite 10 City State Zip Mountlake Terrace WA 98043 Phone Number Extension 2063623430 State License Number License Expiration Date METALI*141 CG 10/29/2023 UBI # E-mail Address FDDgDR: gis markcrayl@hotmaii.com Project Location Number Street 8629 187TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00568100000400 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 Caroline A & Hogenson Samuel H Hurd Number Street 8629 187TH PL SW Apartment or Suite Number City State EDMONDS WA Zip 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: 11/14/2022 Submitted By: Mark Cray Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1229615 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Work Description/Location (example: 1st floor, Alteration to existing gas line to accommodate new Master Bath, Garage) structure and relocated range. Gas line located in garage, attic above garage, in crawlspace. Page 2 of 2