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Application_1148088CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1148088 Applicant First Name Last Name Company Name Cristian Nielsen Number Street Apartment or Suite Number E-mail Address 608 Sunset Ave N crisn@gateway-ti.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 786-4577 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 608 SUNSET AVE City Zip Code County Parcel Number EDMONDS 98020 00520100000200 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 *Cris NIELSEN4 LLC Number Street Apartment or Suite Number 608 Sunset Ave City State Zip Edmonds WA 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: 5/24/2022 Submitted By: Cristian Nielsen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1148088 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Switched from propane to natural gas. Need to connect Master Bath, Garage) the existing system to the new gas meter. Page 2 of 2