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Application_1027413CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1027413 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 4256367054 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 9624 232ND ST SW City Zip Code County Parcel Number EDMONDS 98020 00571500000100 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 Kyle E R Adams Number Street Apartment or Suite Number 9624 232ND ST SW City State Zip EDMONDS WA 98020-5029 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: 9/29/2021 Submitted By: KRISTINE TEMPLETON Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1027413 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