Application_BLD2022-1686CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1241910
Applicant
First Name Last Name Company Name
Kathleen Kappen Ballard Natural Gas Service
Number Street Apartment or Suite Number E-mail Address
2027 196th St SW A101 permits@ballardnaturalgas.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 784-8101
Contractor
Company Name
BALLARD NATURAL GAS SRVC INC
Number Street Apartment or Suite Number
2027 196th St SW A101
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 784-8101
State License Number License Expiration Date UBI # E-mail Address
BALLANG062QD 12/6/2023 BD15nR.147 permits@ballardnaturalgas.com
Project Location
Number Street Floor Number Suite or Room Number
9809 220TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00637000000400
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
TOTH LLC
Number Street Apartment or Suite Number
16827 SE 34TH ST
City State Zip
BELLEVUE WA 98008
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: 12/13/2022 Submitted By: Kathleen Kappen
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1241910
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
HVAC Systems
Furnace
Work Location
Work Description/Location (example: 1st floor, First Floor
Master Bath, Garage)
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