Application_1543898CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1543898
Applicant
First Name Last Name Company Name
TOM KIMBALL KIMBALL MECHANICAL LLC
Number Street Apartment or Suite Number E-mail Address
43901 SE 78TH ST KIMBALLMECHANICAL@YAHOO.COM
City State Zip Phone Number Extension
SNOQUALMIE WA 98065 (425) 864-4745
Contractor
Company Name
KIMBALL MECHANICAL
Number Street Apartment or Suite Number
43901 SE 78TH ST
City State Zip Phone Number Extension
SNOQUALMIE WA 98065 (425) 864-4745
State License Number License Expiration Date UBI # E-mail Address
KI M BAM*946M 1 9/5/2026 RDg51 1 R31 KIMBALLMECHANICAL@YAHOO.COM
Project Location
Number Street Floor Number Suite or Room Number
9309 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98020 27031300102200
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
Jeanne Dubois Kiewicz-Brooks
Number Street Apartment or Suite Number
9309 OLYMPIC VIEW DR
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: 9/7/2024 Submitted By: TOM KIMBALL
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1543898
Project Type
Single Family Residential
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Associated Building Permit?
Activity Type
Repair or Replacement
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, 4258644745
Master Bath, Garage)
Scope of Work
Mechanical
Page 2 of 2