Application_1217672CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1217672
Applicant
First Name Last Name
Kevin McBride
Company Name
Anderson Installation. Inc.
Number Street
14616 Smokey Point Blvd
Apartment or Suite Number E-mail Address
andersonfireplace 1 @hotmail.com
City State Zip
Marysville WA 98271
Phone Number Extension
(360) 651-7900 1
Contractor
Company Name
ANDERSON INSTALLATION INC
Number Street
14616 Smokey Point Blvd
Apartment or Suite Number
City State Zip
Marysville WA 98271
Phone Number Extension
360-651-7900 360-707-5225
State License Number License Expiration Date
ANDER11961 LT 7/14/2024
UBI # E-mail Address
FD9,iAF1 SD andersonfireplace 1 @hotmail.com
Project Location
Number Street
22112 95TH PL W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00544200100700
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
Keith & I -Chun Liu Grey
Number Street
22112 95TH PL W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020-4519
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: 10/18/2022 Submitted By: Kevin McBride
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1217672
Project Type
Single Family Residential
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Heaters
Heater - Gas
Associated Building Permit?
Activity Type Scope of Work
Alteration Mechanical
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Living room
Master Bath, Garage)
Page 2 of 2