Application_1581028CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1581028
Applicant
First Name Last Name
greg percy
Company Name
hearthside and home Ilc
Number Street
4829 196th st sw
Apartment or Suite Number E-mail Address
d hearthsideandhome@yahoo.com
City State Zip
lynnwood WA 98036
Phone Number Extension
(425) 771-6434
Contractor
Company Name
hearthside and home Ilc
Number Street
4829 196th st sw
Apartment or Suite Number
d
City State Zip
lynnwood WA 98036
Phone Number Extension
(425) 771-6434
State License Number License Expiration Date
H EARTHL868BC 1 /3/2026
UBI # E-mail Address
F;miq 15R 1 R hearthsideandhome@yahoo.com
Project Location
Number Street
22050 99TH PL W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00602100100700
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
Matthew A & Childress Bethany A Hart
Number Street
22050 99TH PL W
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: 11/20/2024 Submitted By: greg percy
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1581028
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, We will run 100' gas line and install direct vent gas
Master Bath, Garage) insert into masonry fireplace on main floor in living
room.
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