Application_2021-0490CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #946094
Applicant
First Name
greg
Last Name Company Name
percy hearthside and home IIc
Number Street
4829 196th st sw
Apartment or Suite Number E-mail Address
d hearthsideandhome@yahoo.com
City State
lynnwood WA
Zip Phone Number Extension
98036 4257716434
Contractor
Company Name
hearthside and home IIc
Number Street
4829 196th st sw
Apartment or Suite Number
d
City
lynnwood
State Zip Phone Number Extension
WA 98036 (425) 771-6434
State License Number
H EARTHL868BC
License Expiration Date UBI # E-mail Address
1 /3/2022 F;miq 15R 1 R hearthsideandhome@yahoo.com
Project Location
Number Street
20227 87TH AVE W
Floor Number Suite or Room Number
City
EDMONDS
Zip Code County Parcel Number
98026 00572400000300
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
CHRIS / COURTNEY
Last Name or Company Name
PETERSEN
Number Street
20227 87TH AVE W
Apartment or Suite Number
City
EDMONDS
State Zip
WA 98026
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: 4/7/2021 Submitted By: greg percy
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #946094
Project Type
Single Family Residential
Project Details
Other
Built -In Fireplace - Gas
Work Location
Activity Type Scope of Work
Alteration Mechanical
Work Description/Location (example: 1st floor, INSTALL BUILT-IN GAS FIREPLACE ON TOP FLOOR
Master Bath, Garage) AND 1-STORY VERITICAL DIRECT VENT KIT.
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