Application_1561973CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1561973
Applicant
First Name Last Name Company Name
Amy Revelle Ballard Natural Gas Service
Number Street Apartment or Suite Number E-mail Address
2027 196th St SW A101 permits@ballardnaturalgas.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 784-8101
Contractor
Company Name
BALLARD NATURAL GAS SRVC INC
Number Street Apartment or Suite Number
2027 196th St SW A101
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 784-8101
State License Number License Expiration Date UBI # E-mail Address
BALLANG062QD 12/6/2025 BD15nR.147 permits@ballardnaturalgas.com
Project Location
Number Street Floor Number Suite or Room Number
23105 99TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00391400001800
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
Jesse J & Vanni Olivia G Flickinger
Number Street Apartment or Suite Number
242 ELM ST
City State Zip
EVERETT WA 98203
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: 10/15/2024 Submitted By: Amy Revelle
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1561973
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
HVAC Systems
Furnace
Work Location
Work Description/Location (example: 1st floor, Basement
Master Bath, Garage)
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