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Application_1072632CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1072632 Applicant First Name Last Name Company Name Georgiy Abdulfaizov GEORGE GAS PIPING LLC Number Street Apartment or Suite Number E-mail Address 601 12th AVE NW E-4 georgegaspiping@gmail.com City State Zip Phone Number Extension Issaquah WA 98027 4255772452 Contractor Company Name GEORGE GAS PIPING LLC Number Street Apartment or Suite Number 601 12TH AVE NW E4 City State Zip Phone Number Extension ISSAQUAH WA 98027 (425) 577-2452 State License Number License Expiration Date UBI # E-mail Address GEORGGP849JQ 4/18/2022 F;n:3F;n7gnF; georgegaspiping@gmail.com Project Location Number Street Floor Number Suite or Room Number 18308 84TH PL W City Zip Code County Parcel Number EDMONDS 98026 00596000000300 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 SANTIAGO CHRISTIAN & RAILIN Number Street Apartment or Suite Number 18308 84TH PI 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: 1/6/2022 Submitted By: Georgiy Abdulfaizov Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1072632 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech 4 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, New gas line installed from crawl space for the BBQ, 2 Master Bath, Garage) ranges, fireplace. Page 2 of 2