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Application_1375037CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1375037 Applicant First Name Last Name Budd Johnson Company Name Number Street 7809 202ND PL SW Apartment or Suite Number E-mail Address bdjhlj@frontier.com City State Zip Edmonds WA 98026 Phone Number Extension (425) 776-7494 Contractor Company Name ADVANCED INSTALLATION INC Number Street PO Box 1229 Apartment or Suite Number City State Zip Clinton WA 98236 Phone Number Extension (425) 745-5977 State License Number License Expiration Date ADVAN11033DU 3/13/2024 UBI # E-mail Address FD174gDq� adv2@advancedinstallation.net Project Location Number Street 7809 202ND PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00401300000500 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 Budd D Johnson Number Street 7809 202ND PL S 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: 9/12/2023 Submitted By: Budd Johnson Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1375037 Project Type Single Family Residential Project Details Heaters Heater - Gas Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, 1st floor, living room Master Bath, Garage) Scope of Work Mechanical Page 2 of 2