Application_1484172CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1484172
Applicant
First Name Last Name Company Name
Scott Lewis
Number Street Apartment or Suite Number E-mail Address
612 Edmonds Way Mrscottsenterprises@outlook.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 554-9851
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
612 EDMONDS WAY
City Zip Code County Parcel Number
EDMONDS 98020 27032500308800
Associated Building Permit Number Tenant Name
BLD2024-0605
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Scott F & Margarita O Lewis
Number Street Apartment or Suite Number
612 EDMONDS WAY
City State Zip
EDMONDS WA 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: 5/6/2024 Submitted By: Scott Lewis
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1484172
Project Type Activity Type Scope of Work
Single Family Residential New Mechanical
Project Details
Exhaust Systems
Exhaust Fan with duct - Bath
Exhaust Fan with duct - Laundry
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Work Location
Work Description/Location (example: 1 st floor, Laundry/utility room
Master Bath, Garage)
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