BLD2024-0557_Application_4.26.2024_3.54.18_PM_4202406CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1474963 - Lazarus, Gary
Applicant
First Name Last Name Company Name
Amy Revelle Ballard Natural Gas Service
Number Street Apartment or Suite Number E-mail Address
2027 196th St SW A101 permits@ballardnaturalgas.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 784-8101
Contractor
Company Name
BALLARD NATURAL GAS SRVC INC
Number Street Apartment or Suite Number
2027 196th St SW A101
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 784-8101
State License Number License Expiration Date UBI # E-mail Address
BALLANG062QD 12/6/2025 BD15nR.147 permits@ballardnaturalgas.com
Project Location
Number Street Floor Number Suite or Room Number
6909 174TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00513100014523
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
Gary M & Nancy A Ttees Edwards -Lazarus
Number Street Apartment or Suite Number
6909 174TH ST SW
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 4/26/2024 Submitted By: Amy Revelle
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CITY OF EDMONDS MyBuil.dingPermit.com
Mechanical Application #1474963 - Lazarus, Gary
Project Contact
Company Name: Ballard Natural Gas
Service
Name: Amy Revelle Email: permits@ballardnaturalgas.com
Address: 2027 196th St SW A101 Phone #: (206) 784-8101
Lynnwood WA 98036
Project Type
Single Family Residential
Activity Type Scope of Work
Alteration Mechanical
Project Name: Lazarus, Gary
Description of Work: Installation of Mitsubishi Heat Pump
Project Details
HVAC Systems
Heat Pump 1
Work Location
Work Description/Location (example: 1 st floor, NE side of the home
Master Bath, Garage)
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