BLD2021-1293_Application_9.17.2021_5.48.24_PM_2416658CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1021697 - Hot Water Heater Replacement
Applicant
First Name Last Name Company Name
Lora Eberhard Lora Eberhard
Number Street Apartment or Suite Number E-mail Address
21225 76th Ave. W Unit 1 lorajessup@yahoo.com
City State Zip Phone Number Extension
Edmonds WA 98026 2083290573
Contractor
Company Name
EFFECTIVE PLUMBING LLC
Number Street Apartment or Suite Number
20232 38TH AVE W
City State Zip Phone Number Extension
LYNNWOOD WA 98036 2064065161
State License Number License Expiration Date UBI # E-mail Address
EFFECPL819K1 5/25/2023 6644551 qq lorajessup@yahoo.com
Project Location
Number Street Floor Number Suite or Room Number
21225 76TH AVE W A-1
City Zip Code County Parcel Number
EDMONDS 98026 00787400100100
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
Stanley E Jr Eberhard
Number Street Apartment or Suite Number
21225 76TH AVE W A-1
City State Zip
EDMONDS WA 98026
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: 9/17/2021 Submitted By: Lora Eberhard
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1021697 - Hot Water Heater Replacement
Project Contact
Company Name: Lora Eberhard
Name: Lora Eberhard Email: lorajessup@yahoo.com
Address: 21225 76th Ave. W Unit 1 Phone #: 2083290573
Edmonds WA 98026
Project Type Activity Type Scope of Work
Single Family Condominium Unit Repair or Replacement Plumbing
Project Name: Hot Water Heater Replacement
Description of Replacement of non -working hot water heater. Along with the installation of a water pan,
Work: an expansion tank and a flow stop valve. (Work will be done by a professional plumbing
technician.)
Project Details
Scope of Work
Like for like equipment in the same location
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1 st floor, directly inside front entrance to the left
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