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Application_1582108CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1582108 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 800 DRIFTWOOD PL Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27031300307800 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 Robert & Carol Swerk Number Street PO BOX 164 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: 11/23/2024 Submitted By: greg percy Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1582108 Project Type Single Family Residential Project Details Appliances and Equipment Activity Type Repair or Replacement Gas Piping Outlets - Mech 1 Associated Building Permit? There is no other onsite work that requires a building permit. Other Gas Log Set Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Scope of Work Mechanical Run 42' gas line through crawl space to fireplace and install valve, burner, and log set kit. Masonry fireplace in upstairs living room. Page 2 of 2