Application_1420559CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1420559
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
9216 SIERRA ST
Floor Number Suite or Room Number
City
EDMONDS
Zip Code
98020
County Parcel Number
00572800000700
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Brian\ Emily
Last Name or Company Name
Peterson
Number Street
9216 SIERRA ST
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: 12/22/2023 Submitted By: greg percy
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1420559
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: 1st floor, Run up to 88' gas line and install gas insert into
Master Bath, Garage) downstairs family room masonry fireplace.
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