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BLD2024-0737_Application_6.3.2024_8.49.40_AM_4295495CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1480770 - Potter/Anderson fireplace Applicant First Name Last Name Company Name James Lenon LENON BUILDING COMPANY Number Street Apartment or Suite Number E-mail Address 115 N 101st ST lenonbuildingco@gmail.com City State Zip Phone Number Extension Seattle WA 98133 (206) 963-9805 Contractor Company Name LENON BUILDING COMPANY Number Street Apartment or Suite Number 115 N 101 ST ST City State Zip Phone Number Extension SEATTLE WA 98133 (206) 963-9805 State License Number License Expiration Date UBI # E-mail Address LENONBC801 RT 1 /5/2023 BD4 119s9 lenonbuildingco@gmail.com Project Location Number Street Floor Number Suite or Room Number 517 4TH AVE S C City Zip Code County Parcel Number EDMONDS 98020 00649300100300 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 Elizabeth L Anderson Number Street Apartment or Suite Number 620 NE VINEYARD LN B-101 City State Zip BAINBRIDGE ISLAND WA 98110 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: 6/3/2024 Submitted By: James Lenon Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1480770 - Potter/Anderson fireplace Project Contact Company Name: LENON BUILDING COMPANY Name: James Lenon Address: 115 N 101st ST Seattle WA 98133 Project Type Single Family Condominium Unit Email: lenonbuildingco@gmail.com Phone #: (206) 963-9805 Activity Type Scope of Work Repair or Replacement Mechanical Project Name: Potter/Anderson fireplace Description of Work: disconnecting gas from existing fireplace. Replacing existing fireplace with new unit, re -connecting gas. Project Details Scope of Work Like for like equipment in the same location Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) second floor, living room, gas fireplace replacement Page 2 of 2