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Application_BLD2023-0893CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1348505 Applicant First Name Amanda Last Name Cole Company Name Number Street 23922 106th PL W Apartment or Suite Number E-mail Address agarrick@hotmail.com City State Edmonds WA Zip 98020 Phone Number Extension (206) 399-7067 Contractor Company Name hearthside and home Ilc Number Street 4829 196th st sw Apartment or Suite Number d City lynnwood State Zip WA 98036 Phone Number Extension (425) 771-6434 State License Number HEARTHL868BC License Expiration Date 1/3/2024 UBI # E-mail Address F ig15R1R hearthsideandhome@yahoo.com Project Location Number Street 23922 106TH PL W Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00689500001600 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Daniel J & Amanda Last Name or Company Name Cole Number Street 23922 106TH PL W 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: 7/18/2023 Submitted By: Amanda Cole Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1348505 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Heaters Fireplace Insert - Gas Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, 1st floor, living room Master Bath, Garage) Page 2 of 2