BLD2022-1627_Application_11.28.2022_10.03.41_AM_3212483CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1227720 - Anderson Tod & Sue
Applicant
First Name Last Name Company Name
Kevin McBride Anderson Installation. Inc.
Number Street Apartment or Suite Number E-mail Address
14616 Smokey Point Blvd andersonfireplace 1 @hotmail.com
City State Zip Phone Number Extension
Marysville WA 98271 (360) 651-7900 1
Contractor
Company Name
ANDERSON INSTALLATION INC
Number Street Apartment or Suite Number
14616 Smokey Point Blvd
City State Zip Phone Number Extension
Marysville WA 98271 360-651-7900 360-707-5225
State License Number License Expiration Date UBI # E-mail Address
ANDER11961 LT 7/14/2024 FD9,iAF1 SD andersonfireplace 1 @hotmail.com
Project Location
Number Street Floor Number Suite or Room Number
524 MAPLE ST 201
City Zip Code County Parcel Number
EDMONDS 98020 00728900220100
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
Tod J & Susan L Anderson
Number Street Apartment or Suite Number
524 MAPLE ST 201
City State Zip
EDMONDS WA 98020
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 11/28/2022 Submitted By: Kevin McBride
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CITY OF EDMONDS M BuitdingPermit.com
Mechanical Application #1227720 - Anderson Tod & Sue
Project Contact
Company Name: Anderson Installation.
Inc.
Name: Kevin McBride Email: andersonfireplace1@hotmail.com
Address: 14616 Smokey Point Phone #: (360) 651-7900 1
Blvd
Marysville WA 98271
Project Type
Single Family Condominium Unit
Activity Type Scope of Work
Alteration Mechanical
Project Name: Anderson Tod & Sue
Description of Work: Install gas pipe with direct vent gas insert
Project Details
Scope of Work
Mech Equipment For Building Permit
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Living room
Master Bath, Garage)
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