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Application_2021-1045CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #997890 Applicant First Name Last Name Company Name Brent Anderson BA Enterprises, Inc. Number Street Apartment or Suite Number E-mail Address 1325 4th Ave Ste 940 brentand@hotmail.com City State Zip Phone Number Extension Seattle WA 98101 2067551590 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 7702 238TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00559300002600 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 BRENT Hupf Properties LLC Number Street Apartment or Suite Number PO Box PO Box 2932 City State Zip Kirkland WA 98083 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: 7/28/2021 Submitted By: Brent Anderson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #997890 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details Heaters Heater - Gas 1 Work Location Work Description/Location (example: 1st floor, HALWAY MECHANICAL CLOSET Master Bath, Garage) Page 2 of 2