Application_1419552CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1419552
Applicant
First Name Last Name Company Name
Alan Schwartz
Number Street Apartment or Suite Number E-mail Address
19211 93rd PL W alanschwartz@mac.com
City State Zip Phone Number Extension
Edmonds WA 98020 (425) 770-2144
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
19211 93RD PL W
City Zip Code County Parcel Number
EDMONDS 98020 00371100000800
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
Alan N Schwartz
Number Street Apartment or Suite Number
19211 93RD PL W
City State Zip
EDMONDS WA 98020-2551
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: 12/20/2023 Submitted By: Alan Schwartz
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1419552
Project Type
Single Family Residential
Project Details
Other
natural gas log lighter
Work Location
Activity Type
Repair or Replacement
Work Description/Location (example: 1st floor, Fireplace in house
Master Bath, Garage)
Scope of Work
Mechanical
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