Application_1291378CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1291378
Applicant
First Name Last Name
Brian Lee
Company Name
Sundance Energy Services Inc
Number Street
10228 Main Street
Apartment or Suite Number E-mail Address
brianl@sundanceenergy.com
City State Zip
Bothell WA 98011
Phone Number Extension
(425) 481-9660
Contractor
Company Name
Sundance Energy Services Inc
Number Street
10228 Main Street
Apartment or Suite Number
City State Zip
Bothell WA 98011
Phone Number Extension
(425) 481-9660
State License Number License Expiration Date
SUNDAES063J9 9/13/2023
UBI # E-mail Address
BD15416:37 kevinl@sundanceenergy.com
Project Location
Number Street
21507 88TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00723500000400
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
Ihlae & Joshua Rosen
Number Street
21507 88TH AVE W
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: 3/30/2023 Submitted By: Brian Lee
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1291378
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, Installing a gas fireplace insert - including 10' of gas
Master Bath, Garage) piping / In living room
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