BLD2021-1254_Application_9.9.2021_11.41.47_AM_2399710CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1017288 - WH replacement
Applicant
First Name Last Name Company Name
Jerry Hardie
Number Street Apartment or Suite Number E-mail Address
61 Pine St 303 jhardie1945@icloud.com
City State Zip Phone Number Extension
Edmonds WA 98020 4259410640
Contractor
Company Name
PROMAX WATER HEATERS & PLUMBNG
Number Street Apartment or Suite Number
2620 BELLEVUE WAY NE 138
City State Zip Phone Number Extension
BELLEVUE WA 98004 4254951961
State License Number License Expiration Date UBI # E-mail Address
PROMAWH804QR 11/12/2022 BD454g41 B jhardie1945@icloud.com
Project Location
Number Street Floor Number Suite or Room Number
61 PINE ST 303
City Zip Code County Parcel Number
EDMONDS 98020 01022606130300
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
Jerry and Rondel Hardie
Number Street Apartment or Suite Number
61 PINE ST 303
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. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 9/9/2021 Submitted By: Jerry Hardie
Page 1 of 2
i
CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1017288 - WH replacement
Project Contact
Company Name:
Name:
Address:
Jerry Hardie
61 Pine St 303
Edmonds WA 98020
Project Type
Single Family Condominium Unit
Email: jhardie1945@icloud.com
Phone #: 4259410640
Activity Type Scope of Work
Repair or Replacement Plumbing
Project Name: WH replacement
Description of Work: Replace 50 gal WH and pressure tank
Project Details
Scope of Work
Like for like equipment in the same location
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Replace 50 gal electric WH with pressure tank
Page 2 of 2