Application_1485602CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1485602
Applicant
First Name Last Name
greg percy
Company Name
hearthside and home Ilc
Number Street
4829 196th st sw
Apartment or Suite Number E-mail Address
d hearthsideandhome@yahoo.com
City State Zip
lynnwood WA 98036
Phone Number Extension
(425) 771-6434
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
8101 240TH ST SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00451900201905
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
Kari Gronvold
Number Street
8101 240TH ST SW
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026-9119
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: 5/8/2024 Submitted By: greg percy
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1485602
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Details
Heaters
Fireplace Insert - Wood
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Install wood burning insert into masonry fireplace on
Master Bath, Garage) main floor in living room.
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