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Application_2021-0678CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #963807 Applicant First Name Last Name Dan Spencer Company Name SPENCER HOME SOLUTIONS LLC Number Street PO Box 1537 Apartment or Suite Number E-mail Address dan@spencerhomesolutions.com City State Zip Edmonds WA 98020 Phone Number Extension (425)785-8832 Contractor Company Name SPENCER HOME SOLUTIONS LLC Number Street PO Box 1537 Apartment or Suite Number City State Zip EDMONDS WA 98020 Phone Number Extension (425) 361-7197 (425) 785-8832 State License Number License Expiration Date SPENCHS900DA 3/1/2022 UBI # E-mail Address BDggg1144 dan@spencerhomesolutions.com Project Location Number Street 720 6TH AVE S Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032500209600 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 Heather & Justin Edmonds Reed Number Street 720 6TH AVE S Apartment or Suite Number City State EDMONDS 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: 5/14/2021 Submitted By: Dan Spencer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #963807 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: 1st floor, Extend gas line in crawlspace to range in Kitchen Master Bath, Garage) Page 2 of 2