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Application_1235635CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1235635 Applicant First Name Mark Last Name Bourdon Company Name Aqua Rec Inc Number Street 1407 Puyallup Ave Apartment or Suite Number E-mail Address mark@aquarec.com City State Tacoma WA Zip 98421 Phone Number Extension (253) 682-1792 108 Contractor Company Name AQUA REC INC Number Street 1407 Puyallup Ave Apartment or Suite Number City Tacoma State Zip WA 98421 Phone Number Extension 2536821792 State License Number AQUARI*110RA License Expiration Date 2/19/2023 UBI # E-mail Address FD19n94:39 mark@aquarec.com Project Location Number Street 18829 81 ST AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00481600101100 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Amanda K & Keiter Phillip H Last Name or Company Name Hovde Number Street 18829 81 ST AVE W Apartment or Suite Number City EDMONDS State 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: 11/29/2022 Submitted By: Mark Bourdon Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1235635 Project Type Single Family Residential Project Details Appliances and Equipment Gas Piping Outlets - Mech Heaters Fireplace Insert - Gas Associated Building Permit? Activity Type Scope of Work Alteration Mechanical There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, 1 st floor fireplace Master Bath, Garage) Page 2 of 2