Application_1171384CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1171384
Applicant
First Name Last Name
Jacob Markley
Company Name
Puget Sound Gas Works
Number Street
2317 Twin PL
Apartment or Suite Number E-mail Address
pugetsoundgasworks@gmail.com
City State Zip
Anacortes WA 98221
Phone Number Extension
(425) 343-5566
Contractor
Company Name
PUGET SOUND GAS WORKS LLC
Number Street
2317 TWIN PLACE
Apartment or Suite Number
City State Zip
ANACORTES WA 98221
Phone Number Extension
(425) 343-5566
State License Number License Expiration Date
pugetsg851 n6 9/8/2023
UBI # E-mail Address
Fn.i.r;7R7s� pugetsoundgasworks@gmail.com
Project Location
Number Street
20320 81 ST AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00431200001302
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
Angela Bahm
Number Street
PO BOX 6256
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: 7/11/2022 Submitted By: Jacob Markley
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1171384
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: 1 st floor, We are running three outlets for a BBQ, firepit, and a
Master Bath, Garage) pool heater outside.
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