BLD2021-1462_Application_10.25.2021_12.30.28_PM_2481171CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1039907 - Melissa Logstrom
Applicant
First Name Last Name Company Name
Melissa Logstrom NA
Number Street Apartment or Suite Number E-mail Address
510 Forsyth Lane 303 logstrom@aol.com
City State Zip Phone Number Extension
Edmonds WA 98020 2063995697
Contractor
Company Name
e-z way plumbing LLC
Number Street Apartment or Suite Number
17462 160th st se
City State Zip Phone Number Extension
monroe wa 98272 3608636838 425-214-3776
State License Number License Expiration Date UBI # E-mail Address
EZWAYWP911QE 11/15/2021 FD9gR:i554 logstrom@aol.com
Project Location
Number Street Floor Number Suite or Room Number
510 FORSYTHE LN 3 303
City Zip Code County Parcel Number
EDMONDS 98020 00762400030300
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
Melissa T Logstrom
Number Street Apartment or Suite Number
510 FORSYTH LANE 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: 10/25/2021 Submitted By: Melissa Logstrom
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1039907 - Melissa Logstrom
Project Contact
Company Name: NA
Name: Melissa Logstrom Email: logstrom@aol.com
Address: 510 Forsyth Lane 303 Phone #: 2063995697
Edmonds WA 98020
Project Type
Multifamily Residential
Activity Type
Repair or Replacement
Project Name: Melissa Logstrom
Description of Work: Replace 50 Gallon Electric water heater
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)
Work to be performed by a licensed contractor
Yes
1
3rd floor unit 303
Scope of Work
Plumbing
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