Application_1389725CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1389725
Applicant
First Name Last Name Company Name
Charity Teeters Advanced Installation
Number Street Apartment or Suite Number E-mail Address
PO BOX 1229 adv1 @advanced installation. net
City State Zip Phone Number Extension
Clinton WA 98236 (425) 745-5977
Contractor
Company Name
ADVANCED INSTALLATION INC
Number Street Apartment or Suite Number
PO BOX 1229
City State Zip Phone Number Extension
Clinton WA 98236 (425) 745-5977
State License Number License Expiration Date UBI # E-mail Address
ADVAN11033DU 3/13/2024 FD174gDq.,i adv1@advancedinstallation.net
Project Location
Number Street Floor Number Suite or Room Number
1105 8TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 00619401101000
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
Jack R Donaldson
Number Street Apartment or Suite Number
1105 8TH AVE S
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: 10/13/2023 Submitted By: Charity Teeters
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1389725
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
Heaters
Fireplace Insert - Gas
Work Location
Work Description/Location (example: 1st floor, main floor
Master Bath, Garage)
Page 2 of 2