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Application_1538499-1CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1538499 Applicant First Name Last Name Gavin Lumsden Company Name Copper Creek Electric Number Street 236 PO Box 236 Apartment or Suite Number E-mail Address jaggsvcs@gmail.com City State Zip Wilkeson WA 98396 Phone Number Extension (253) 455-2475 Contractor Company Name JAGG SERVICES LLC Number Street PO BOX 236 Apartment or Suite Number City State Zip WILKESON WA 98396 Phone Number Extension (253) 455-2475 State License Number License Expiration Date JAGGSSL791RN 12/15/2025 UBI # E-mail Address F;usl7547 jaggsvcs@gmail.com Project Location Number Street 18306 OLYMPIC VIEW DR Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00565600201100 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 Steven D & Amber M Pacquer Number Street 18306 OLYMPIC VIEW DR Apartment or Suite Number City State EDMONDS WA Zip 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: 8/27/2024 Submitted By: Gavin Lumsden Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1538499 Project Type Single Family Residential Project Details Appliances and Equipment Gas Piping Outlets - Mech Heaters Activity Type Repair or Replacement 1 Fireplace Insert - Gas 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Scope of Work Mechanical Work Description/Location (example: 1 st floor, Run gas piping for fireplace. 1 line 100ft or less Master Bath, Garage) Page 2 of 2