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Application_1308142CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1308142 Applicant First Name Last Name Daniel Hammer Company Name Sutter Home and Hearth Inc Number Street 920 NW Leary Way Apartment or Suite Number E-mail Address install@sutterhearth.com City State Zip Seattle WA 98107 Phone Number Extension (206) 783-9115 317 Contractor Company Name SUTTER HOME & HEARTH INC Number Street 920 NW Leary Way Apartment or Suite Number City State Zip Seattle WA 98107 Phone Number Extension (206) 783-9115 State License Number License Expiration Date SUTTEHH132JM 9/1/2023 UBI # E-mail Address FDmA47g1 install@sutterhearth.com Project Location Number Street 1621 9TH AVE N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27031300405900 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 Laura Lea & Lally Helen Ann Ttee Jaurequi Number Street 1621 9TH AVE N Apartment or Suite Number City State EDMONDS 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: 5/1/2023 Submitted By: Daniel Hammer Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1308142 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Gas Associated Building Permit? Activity Type Repair or Replacement There is or will be a building permit associated with this work at the project location. Work Location Scope of Work Mechanical Work Description/Location (example: 1 st floor, Provide and install 1 direct vent gas fireplace, replacing Master Bath, Garage) existing b-vent gas fireplace in living room. Page 2 of 2