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Application_1192506CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1192506 Applicant First Name Last Name Daniel Hammer Company Name Sutter Home and Hearth Inc Number Street 920 NW Leary Way Apartment or Suite Number E-mail Address install@sutterhearth.com City State Zip Seattle WA 98107 Phone Number Extension (206) 783-9115 317 Contractor Company Name SUTTER HOME & HEARTH INC Number Street 920 NW Leary Way Apartment or Suite Number City State Zip Seattle WA 98107 Phone Number Extension (206) 783-9115 State License Number License Expiration Date SUTTEHH132JM 9/1/2023 UBI # E-mail Address FDmA47g1 install@sutterhearth.com Project Location Number Street 19028 SOUNDVIEW PL Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27031300405100 Associated Building Permit Number Carlisle Classic Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Timothy R & Mary Anne W Osborn Number Street PO BOX 670 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: 8/24/2022 Submitted By: Daniel Hammer Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1192506 Project Type Single Family Residential Project Details Heaters Fireplace Insert - Gas Work Location Activity Type Scope of Work Alteration Mechanical Work Description/Location (example: 1 st floor, Provide and install 3 direct vent gas inserts. Basement, Master Bath, Garage) Kitchen, Living Room. Page 2 of 2