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Application_1007029CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1007029 Applicant First Name Last Name Company Name KATY KEHLE Fast Water Heater Company Number Street Apartment or Suite Number E-mail Address 11715 NORTH CREEK PARKWAY SOUTH C-106 kkehle@FASTWATERHEATER.COM City State Zip Phone Number Extension BOTHELL WA 98011 4256367074 Contractor Company Name Fast Water Heater Company Number Street Apartment or Suite Number 11715 NORTH CREEK PARKWAY SOUTH C-106 City State Zip Phone Number Extension BOTHELL WA 98011 (425) 636-7054 State License Number License Expiration Date UBI # E-mail Address FASTWWH948BC 1 /4/2022 6695R4544 kkehle@FASTWATERHEATER.COM Project Location Number Street Floor Number Suite or Room Number 8536 FREDERICK PL City Zip Code County Parcel Number EDMONDS 98026 00594400005803 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 Ronald E & Nancy A Tracy Number Street Apartment or Suite Number 8536 FREDERICK PL City State Zip EDMONDS WA 98026-5035 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: 8/17/2021 Submitted By: KATY KEHLE Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1007029 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Basement Master Bath, Garage) Scope of Work Plumbing Page 2 of 2