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Application_1417228CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1417228 Applicant First Name Joseph Last Name Schlegel Company Name Smart Electric Number Street 11411 51 st Ave SE Apartment or Suite Number E-mail Address office@SMARTELECTRICSEATTLE.COM City State EVERETT WA Zip 98208 Phone Number Extension (425) 999-3040 Contractor Company Name SMART ELECTRIC LLC Number Street 11411 51st Ave SE Apartment or Suite Number City Everett State Zip WA 98208 Phone Number Extension (425) 999-3040 State License Number SMARTEL7940Z License Expiration Date 9/10/2025 UBI # E-mail Address Fn4F;4P949 office@SMARTELECTRICSEATTLE.COM Project Location Number Street 19325 83RD PL W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00572500001601 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Katherine M Last Name or Company Name Wile Number Street 19325 83RD PL W Apartment or Suite Number City EDMONDS State 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: 12/14/2023 Submitted By: Joseph Schlegel Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1417228 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Associated Building Permit? There is no other onsite work that requires a building permit. Other Gas piping outlet for range 1 Work Location Work Description/Location (example: 1st floor, Kitchen- inside house Master Bath, Garage) Page 2 of 2