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Application_1599229CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1599229 Applicant First Name Last Name Company Name Brian Lee Sundance Energy Services Inc Number Street Apartment or Suite Number E-mail Address 10228 Main Street brianl@sundanceenergy.com City State Zip Phone Number Extension Bothell WA 98011 (425) 481-9660 Contractor Company Name Sundance Energy Services Inc Number Street Apartment or Suite Number 10228 Main Street City State Zip Phone Number Extension Bothell WA 98011 (425) 481-9660 State License Number License Expiration Date UBI # E-mail Address SUNDAES063J9 9/13/2025 BD15416:37 kevinl@sundanceenergy.com Project Location Number Street Floor Number Suite or Room Number 19316 83RD PL W City Zip Code County Parcel Number EDMONDS 98026 00572500001900 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 John Hennessey Number Street Apartment or Suite Number 19316 83RD PL W City State Zip EDMONDS WA 98026-6229 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: 1/9/2025 Submitted By: Brian Lee Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1599229 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 family room Page 2 of 2