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Application_2021-0494CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #946312 Applicant First Name Last Name Company Name Scott Zaro Choice Home Services, Inc. Number Street Apartment or Suite Number E-mail Address P O Box 494 scottazaro@gmail.com City State Zip Phone Number Extension Snohomish WA 98291-0494 3605687900 Contractor Company Name CHOICE HOME SERVICES INC Number Street Apartment or Suite Number P O Box 494 City State Zip Phone Number Extension Snohomish WA 98291 3605687900 State License Number License Expiration Date UBI # E-mail Address CHOICHS033BU 2/26/2023 FDI7RFDDR scottazaro@gmail.com Project Location Number Street Floor Number Suite or Room Number 20227 87TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00572400000300 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 Chris Petersen PETERSEN CHRIS & PETERSEN COURTNEY Number Street Apartment or Suite Number 20227 87TH AVE W City State Zip EDMONDS 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: Scott Zaro Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #946312 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Work Description/Location (example: 1 st floor, Gas piping from the meter to the ZC gas fireplace Master Bath, Garage) Page 2 of 2