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Application_1042188CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1042188 Applicant First Name Michaela Last Name Pollard Company Name King's Heating, Inc. Number Street 18933 HWY 99 Apartment or Suite Number E-mail Address contact@KingsHeating.com City State Lynnwood WA Zip 98036 Phone Number Extension 4252755153 Contractor Company Name KING'S HEATING INC Number Street 18933 Highway 99 Apartment or Suite Number City Lynnwood State Zip WA 98036 Phone Number Extension (425) 275-5153 State License Number KINGSH1044JA License Expiration Date 3/10/2022 UBI # E-mail Address FD1 SR95g5 contact@KingsHeating.com Project Location Number Street 17102 67TH AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00419700001100 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Mary K & Travis Last Name or Company Name Boyle Number Street 17102 67TH AVE W Apartment or Suite Number City EDMONDS State WA Zip 98026 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: 10/29/2021 Submitted By: Michaela Pollard Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1042188 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, Garage Master Bath, Garage) Scope of Work Plumbing Page 2 of 2