Application_1569987CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1569987
Applicant
First Name Last Name
Brian Lee
Company Name
Sundance Energy Services Inc
Number Street
10228 Main Street
Apartment or Suite Number E-mail Address
brianl@sundanceenergy.com
City State Zip
Bothell WA 98011
Phone Number Extension
(425) 481-9660
Contractor
Company Name
Sundance Energy Services Inc
Number Street
10228 Main Street
Apartment or Suite Number
City State Zip
Bothell WA 98011
Phone Number Extension
(425) 481-9660
State License Number License Expiration Date
SUNDAES063J9 9/13/2025
UBI # E-mail Address
BD15416:37 kevinl@sundanceenergy.com
Project Location
Number Street
21819 97TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00559700300900
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
David M Gow
Number Street
21819 97TH AVE W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020-3956
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: 10/31/2024 Submitted By: Brian Lee
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1569987
Project Type Activity Type Scope of Work
Single Family Residential New Mechanical
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Heaters
Fireplace Insert - Gas
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)
1
1
Installing a gas fireplace insert - including gas piping /
In living room
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