BLD2024-0622+Application+5.8.2024_12.50.25_PM+4244785CITY OF EDMONDS MyBuildingPermit.com
Building Application #1485382 - Larsen furnace
Applicant
First Name Last Name Company Name
Annette Larsen
Number Street Apartment or Suite Number E-mail Address
655 Main 204 Glarsen68(�Dcomcast.net
City State Zip Phone Number Extension
Edmonds WA 98020 (425) 239-4378
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
655 MAIN ST 204
City Zip Code County Parcel Number
EDMONDS 98020 00596800020400
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
Annette Larsen
Number Street Apartment or Suite Number
655 Main St 204
City State Zip
Edmonds WA 98020
Certification Statement - The applicant states:
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.
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: 5/8/2024 Submitted By: Annette Larsen
Page 1 of 2
i
CITY OF EDMONDS MyBuildinBPermit.com
Building Application #1485382 - Larsen furnace
Project Contact
Company Name:
Name:
Address:
Annette Larsen
655 Main St 204
Edmonds WA 98020
Project Type
Single Family Condominium Unit
Email: Glarsen68@comcast.net
Phone #: (425) 239-4378
Activity Type
Remodel
Project Name: Larsen furnace
Description of Work: Move furnace, add vent for furnace and enlarge doorway to furnace closet.
Project Details
Primary Use
Residential Condos
Valuation
Fair Market Value of Construction Work $5,000
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address glarsen68@comcast.ner
Page 2 of 2