Application_1377004CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1377004
Applicant
First Name
greg
Last Name
percy
Company Name
hearthside and home Ilc
Number Street
4829 196th st sw
Apartment or Suite Number E-mail Address
d hearthsideandhome@yahoo.com
City State
lynnwood WA
Zip
98036
Phone Number Extension
(425) 771-6434
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
1034 4TH AVE S
Floor Number Suite or Room Number
City
EDMONDS
Zip Code
98020
County Parcel Number
00695800000600
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Suzanne
Last Name or Company Name
James
Number Street
1034 4TH AVE S
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: 9/15/2023 Submitted By: greg percy
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1377004
Project Type
Single Family Residential
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Heaters
Fireplace Insert - 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: 1 st floor, Main floor, living room, masonry fireplace.
Master Bath, Garage)
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