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Application_1582564CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1582564 Applicant First Name Last Name Company Name Yohannes Asfaw Number Street Apartment or Suite Number E-mail Address 23420 94th Place West a.yohannes@yahoo.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 730-9328 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 23420 94TH PL W City Zip Code County Parcel Number EDMONDS 98020 00447600001300 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 Yohannes & Asmerom Alganesh Asfaw Number Street Apartment or Suite Number 23420 94TH PL W City State Zip EDMONDS WA 98020-5612 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: 11/25/2024 Submitted By: Yohannes Asfaw Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1582564 Project Type Single Family Residential Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, piping from meter Master Bath, Garage) Scope of Work Mechanical Page 2 of 2