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BLD2021-1316_Application_9.24.2021_9.06.03_AM_2426903CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1024793 - 7901 196th St SW Applicant First Name Last Name Company Name Karen Matheney Washington Energy Services Company, LLC Number Street Apartment or Suite Number E-mail Address 3909 196th St SW permits@washingtonenergy.com City State Zip Phone Number Extension Lynnwood WA 98036 2063786648 Contractor Company Name WASHINGTON ENERGY SVCS CO LLC Number Street Apartment or Suite Number 3909 196th St SW City State Zip Phone Number Extension Lynnwood WA 98036 (206) 378-6648 State License Number License Expiration Date UBI # E-mail Address WASHIES851 NS 9/7/2023 Fini.r;97ni9 permits@washingtonenergy.com Project Location Number Street Floor Number Suite or Room Number 7901 196TH ST SW 20 City Zip Code County Parcel Number EDMONDS 98026 00827000202000 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 Hideki Aikoh Number Street Apartment or Suite Number 7901 196TH ST SW 20 City State Zip EDMONDS WA 98026-6536 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: 9/24/2021 Submitted By: Karen Matheney Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1024793 - 7901 196th St SW Project Contact Company Name: Washington Energy Services Company, LLC Name: Karen Matheney Email: permits@washingtonenergy.com Address: 3909 196th St SW Phone #: 2063786648 Lynnwood WA 98036 Project Type Activity Type Scope of Work Single Family Condominium Unit Repair or Replacement Plumbing Project Name: 7901 196th St SW Description of Work: REPLACING ELECTRIC WATER HEATER LIKE TO LIKE 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 1 Work Location Work Description/Location (example: 1st floor, unit 20 Master Bath, Garage) Page 2 of 2