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Application_BLD2023-0762CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1334532 Applicant First Name Sally Last Name Company Name Barringer Number Street 18405 79th PI W Apartment or Suite Number E-mail Address sallybar@msn.com City State Edmonds WA Zip Phone Number Extension 98026 (425) 775-3285 Contractor Company Name hearthside and home Ilc Number Street 4829 196th st sw Apartment or Suite Number d City lynnwood State Zip Phone Number Extension WA 98036 (425) 771-6434 State License Number HEARTHL868BC License Expiration Date UBI # E-mail Address 1/3/2024 F ig15R1R hearthsideandhome@yahoo.com Project Location Number Street 18405 79TH PL W Floor Number Suite or Room Number City EDMONDS Zip Code County Parcel Number 98026 00471000001200 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Sally L Last Name or Company Name Barringer Number Street 18405 79TH PL W Apartment or Suite Number City EDMONDS State Zip WA 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: 6/16/2023 Submitted By: Sally Barringer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1334532 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Gas Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, main floor, living room Master Bath, Garage) Scope of Work Mechanical Page 2 of 2