Application_1438809CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1438809
Applicant
First Name Last Name
Amy Revelle
Company Name
Ballard Natural Gas Service
Number Street
2027 196th St SW
Apartment or Suite Number E-mail Address
A101 permits@ballardnaturalgas.com
City State Zip
Lynnwood WA 98036
Phone Number Extension
(206) 784-8101
Contractor
Company Name
BALLARD NATURAL GAS SRVC INC
Number Street
2027 196th St SW
Apartment or Suite Number
A101
City State Zip
Lynnwood WA 98036
Phone Number Extension
(206) 784-8101
State License Number License Expiration Date
BALLANG062QD 12/6/2025
UBI # E-mail Address
BD15nR.147 permits@ballardnaturalgas.com
Project Location
Number Street
10602 240TH PL SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00564900301600
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
Jacqueline M D & Scott Herman
Number Street
10602 240TH PL SW
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020
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: 2/6/2024 Submitted By: Amy Revelle
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1438809
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
HVAC Systems
Furnace
Work Location
Work Description/Location (example: 1st floor, Garage
Master Bath, Garage)
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