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Application_2021-1157CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1008552 Applicant First Name Last Name Company Name KRISTINE TEMPLETON Fast Water Heater Company Number Street Apartment or Suite Number E-mail Address 11715 NORTH CREEK PARKWAY SOUTH C-106 ktempleton@FASTWATERHEATER.COM City State Zip Phone Number Extension BOTHELL WA 98011 4256367084 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 F;n95R4544 ktempleton@FASTWATERHEATER.COM Project Location Number Street Floor Number Suite or Room Number 21917 84TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27043000107100 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 Trevor D Burns Number Street Apartment or Suite Number 21917 84TH AVE W City State Zip EDMONDS WA 98026-7821 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: 8/20/2021 Submitted By: KRISTINE TEMPLETON Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1008552 Project Type Single Family Residential Project Details Fixtures Hot Water Heater Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Scope of Work Plumbing Page 2 of 2