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BLD2023-0146+Application+2.3.2023_3.20.12_PM+3350982CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1249917 - Hirano Fireplace Applicant First Name Last Name Company Name Chermak Construction Chermak Construction Number Street Apartment or Suite Number E-mail Address 655 Edmonds Way design(D_chermak.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 776-1367 Contractor Company Name CHERMAK CONSTRUCTION INC Number Street Apartment or Suite Number 655 Edmonds Way City State Zip Phone Number Extension Edmonds WA 98020 425-776-1367 State License Number License Expiration Date UBI # E-mail Address CHERMC1110NU 8/15/2023 601185531 design(o-)_chermak.com Project Location Number Street Floor Number Suite or Room Number 1070 5TH AVE S 305 City Zip Code County Parcel Number EDMONDS 98020 00687300130500 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 Michael & Robin Hirano Number Street Apartment or Suite Number 1070 5TH AVE S 305 City State Zip EDMONDS WA 98020 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: 2/3/2023 Submitted By: Chermak Construction Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1249917 - Hirano Fireplace Project Contact Company Name: Chermak Construction Name: Chermak Construction Email: design@chermak.com Address: 655 Edmonds Way Phone #: (425) 776-1367 Edmonds WA 98020 Project Type Activity Type Single Family Condominium Unit Remodel Project Name: Hirano Fireplace Description of Work: Replacing wood burning fireplace with electric fire insert. No Mechanical. No Gas. Wall for fireplace surround to be bumped out into room 10 inches. Project Details Primary Use Residential Condos Valuation Fair Market Value of Construction Work $7,500 Exterior Changes? The work does not involve changes to the exterior Contact Information Owner Email Address design@chermak.com Page 2 of 2