Application_1007215CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1007215
Applicant
First Name Last Name
TOM KIMBALL
Company Name
KIMBALL MECHANICAL LLC
Number Street
43901 SE 78TH ST
Apartment or Suite Number E-mail Address
KIMBALLMECHANICAL@YAHOO.COM
City State Zip
SNOQUALMIE WA 98065
Phone Number Extension
4258644745
Contractor
Company Name
KIMBALL MECHANICAL
Number Street
43901 SE 78TH ST
Apartment or Suite Number
City State Zip
SNOQUALMIE WA 98065
Phone Number Extension
(425) 864-4745
State License Number License Expiration Date
KI M BAM*946M 1 8/7/2022
UBI # E-mail Address
BDg51 1 R31 KIMBALLMECHANICAL@YAHOO.COM
Project Location
Number Street
18300 ANDOVER ST
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
27041800106300
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
Shellane & Barry Adams
Number Street
18300 ANDOVER ST
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026-5429
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: 8/18/2021 Submitted By: TOM KIMBALL
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1007215
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Details
Other
BBQ, fire pit 2
Work Location
Work Description/Location (example: 1st floor, to run gas for 1x bbq and 1x fire pit
Master Bath, Garage)
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