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Application_1451256CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1451256 Applicant First Name Last Name WILLIAM BRAUN Company Name Number Street 19210 OLYMPIC VIEW DR Apartment or Suite Number E-mail Address webraun2@gmail.com City State Zip Edmonds WA 98020 Phone Number Extension (608) 347-7188 Contractor Company Name hearthside and home Ilc Number Street 4829 196th St SW Apartment or Suite Number D City State Zip Lynnwood WA 98036 Phone Number Extension (425) 771-6434 State License Number License Expiration Date H EARTHL868BC 1 /3/2026 UBI # E-mail Address F;miq 15R 1 R hearthsideandhome@yahoo.com Project Location Number Street 19210 OLYMPIC VIEW DR Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00425100000700 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 William F & Yeang-Eng Lim Braun Number Street 19210 OLYMPIC VIEW DR Apartment or Suite Number City State EDMONDS WA Zip 98020-2560 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: 3/2/2024 Submitted By: WILLIAM BRAUN Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1451256 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Gas Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Mechanical Work Description/Location (example: 1 st floor, 1 st floor - Living Room Replace existing gas insert with Master Bath, Garage) new gas insert fireplace Page 2 of 2