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Application_1404139CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1404139 Applicant First Name Last Name Company Name Scott Zaro Choice Home Services, Inc. Number Street Apartment or Suite Number E-mail Address P O Box 494 scottazaro@gmail.com City State Zip Phone Number Extension Snohomish WA 98291-0494 (360) 568-7900 Contractor Company Name CHOICE HOME SERVICES INC Number Street Apartment or Suite Number P O Box 494 City State Zip Phone Number Extension Snohomish WA 98291-0494 (360) 568-7900 State License Number License Expiration Date UBI # E-mail Address CHOICHS033BU 2/26/2025 FDI7RFDDR scottazaro@gmail.com Project Location Number Street Floor Number Suite or Room Number 21020 PIONEER WAY City Zip Code County Parcel Number EDMONDS 98026 00748000000100 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 Tina R Carter Number Street Apartment or Suite Number 21020 PIONEER WAY City State Zip EDMONDS WA 98026-6946 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: 11/14/2023 Submitted By: Scott Zaro Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1404139 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Work Description/Location (example: 1 st floor, Gas piping only. Appliance installation by others. This is Master Bath, Garage) a short gas line extension to a masonry gas fireplace. Page 2 of 2