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Application_1410229CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1410229 Applicant First Name Last Name Joseph Filbrun Company Name Number Street 20102 83rd Ave W Apartment or Suite Number E-mail Address jrfilbrun@gmail.com City State Zip Edmonds WA 98026 Phone Number Extension (206) 708-9269 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 20102 83RD AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00431200000302 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 Joseph & Debora Filbrun Number Street 20102 83RD AVE 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: 11/29/2023 Submitted By: Joseph Filbrun Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1410229 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Heaters Fireplace Insert - Wood 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Basement Master Bath, Garage) Page 2 of 2