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Application_1229702CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1229702 Applicant First Name Last Name Company Name Scott Zaro Choice Home Services, Inc. Number Street Apartment or Suite Number E-mail Address P O Box 494 scottazaro@gmail.com City State Zip Phone Number Extension Snohomish WA 98291-0494 (360) 568-7900 Contractor Company Name CHOICE HOME SERVICES INC Number Street Apartment or Suite Number P O Box 494 City State Zip Phone Number Extension Snohomish WA 98291-0494 360-568-7900 State License Number License Expiration Date UBI # E-mail Address CHOICHS033BU 2/26/2023 FDI7RFDDR scottazaro@gmail.com Project Location Number Street Floor Number Suite or Room Number 700 ELM ST City Zip Code County Parcel Number EDMONDS 98020 00639600000100 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 Larry A li\clement Teresa L Pierce Number Street Apartment or Suite Number 700 ELM ST 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: 11/14/2022 Submitted By: Scott Zaro Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1229702 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Work Description/Location (example: 1 st floor, Gas piping from meter to two fireplaces. Gas piping Master Bath, Garage) only. No appliance install. Page 2 of 2