BLD2021-0975+Application+7.14.2021_3.08.09_PM+2300738CITY OF EDMONDS
Mechanical Application #991237 - Generator
Applicant
First Name
Last Name
Marietta
Ramel
Number
Street Apartment or Suite N
23821
78th Avenue West
City
State Zip
EDMONDS
WA 98026
Contractor
Company Name
Owner
Number
Street
City
State Zip
State License Number
License Expiration Date UBI #
Project Location
MyBuildingPermit.com
Company Name
E-mail Address
mary.clark3(aD_comcast.net
Phone Number Extension
4256726368
Apartment or Suite Number
Phone Number Extension
E-mail Address
Number Street Floor Number Suite or Room Number
23821 78TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00559300000300
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
Mary V & Ramel Marietta Clark
Number Street Apartment or Suite Number
23821 78TH AVE W
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 7/14/2021 Submitted By: Marietta Ramel
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Mechanical Application #991237 - Generator
Project Contact
Company Name:
Name: Marietta Ramel Email: mary.clark3@comcast.net
Address: 23821 78th Avenue West Phone #: 4256726368
EDMONDS WA 98026
Project Type Activity Type Scope of Work
Single Family Residential New Mechanical
Project Name: Generator
Description of Work: Installing a new generator installed on the south side of the house.
Project Details
Appliances and Equipment
Generator 1
Work Location
Work Description/Location (example: 1 st floor, south side of house, outside
Master Bath, Garage)
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