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Application_1261414CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1261414 Applicant First Name COREY Last Name ALEXANDER Company Name Infrasource Services Number Street 1660 Park Lane Apartment or Suite Number E-mail Address corey.alexander@pse.com City State Burlington WA Zip 98233 Phone Number Extension (425) 516-4388 Contractor Company Name Infrasource Services LLC Number Street 1660 Park Lane Apartment or Suite Number City Burlington State Zip WA 98233 Phone Number Extension (425) 466-4771 State License Number INFRASL871C2 License Expiration Date 2/22/2025 UBI # E-mail Address FD:199gssR corey.alexander@pse.com Project Location Number Street 129 12TH AVE N Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00423000003700 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Gary J & Mary A Last Name or Company Name Oakland Number Street 129 12TH AVE N Apartment or Suite Number City EDMONDS State 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: 1/30/2023 Submitted By: COREY ALEXANDER Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1261414 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, out right Master Bath, Garage) Page 2 of 2