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Application_1600999CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1600999 Applicant First Name greg Last Name 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 lynnwood WA Zip 98036 Phone Number Extension (425) 771-6434 Contractor Company Name hearthside and home llc Number Street 4829 196th st sw Apartment or Suite Number d City lynnwood State Zip WA 98036 Phone Number Extension (425) 771-6434 State License Number H EARTHL868BC License Expiration Date 1 /3/2026 UBI # E-mail Address F;miq 15R 1 R hearthsideandhome@yahoo.com Project Location Number Street 736 LAUREL ST Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00484500901100 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Patricia W & Justas A Last Name or Company Name Vilgalys Number Street 736 LAUREL ST Apartment or Suite Number City EDMONDS State 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: 1/14/2025 Submitted By: greg percy Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1600999 Project Type Single Family Residential Project Details Appliances and Equipment Gas Piping Outlets - Mech Heaters Fireplace Insert - Gas Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, Main floor living room Master Bath, Garage) Scope of Work Mechanical Page 2 of 2