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Application_997834CITY OF EDMONDS M BuildingPermit.com Plumbing Application #997834 Applicant First Name Last Name Tori Heilman Company Name Cardinal Heating and Air Number Street 13649 NE 126th PI Apartment or Suite Number E-mail Address Suite 101 torih@cardinalheating.com City State Zip Kirkland WA 98034 Phone Number Extension (425)827-9997 145 Contractor Company Name CARDINAL HEATING & A/C INC Number Street 13649 NE 126th PL Apartment or Suite Number 101 City State Zip Kirkland WA 98034 Phone Number Extension (425) 827-9997 State License Number License Expiration Date CARDIHA823MU 7/31/2022 UBI # E-mail Address SD15P.171 R torih@cardinalheating.com Project Location Number Street 615 12TH AVE N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00427000000200 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 Heather\ Robert Conradt Number Street 615 12TH AVE N Apartment or Suite Number City State EDMONDS 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: 7/28/2021 Submitted By: Tori Heilman Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #997834 Project Type Single Family Residential Project Details Fixtures Hot Water Heater Work Location Activity Type Repair or Replacement Scope of Work Plumbing Work Description/Location (example: 1 st floor, Remove and replace water heater in same lower level Master Bath, Garage) location Page 2 of 2