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Application_1244848CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1244848 Applicant First Name Arturas Last Name Gasparenas Company Name ART GAS PIPING LLC Number Street 4905 168th st SW Apartment or Suite Number E-mail Address D-102 artgaspiping@gmail.com City State Lynnwood WA Zip 98037 Phone Number Extension (206) 434-9229 Contractor Company Name ART GAS PIPING LLC Number Street PO BOX 324 Apartment or Suite Number City MOUNTLAKE State Zip WA 98043 Phone Number Extension (206)434-9229 State License Number ARTGAGP793CR License Expiration Date 2/9/2023 UBI # E-mail Address FD4Bi5B9D artgaspiping@gmail.com Project Location Number Street 22324 92ND AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00544300001802 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Brent D & Kristin M Last Name or Company Name Kuhn Number Street 22324 92ND AVE W Apartment or Suite Number City EDMONDS State WA Zip 98020 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: 12/20/2022 Submitted By: Arturas Gasparenas Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1244848 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, Gas line extension to natural gas generator. Right side Master Bath, Garage) of the garage. Page 2 of 2