BLD2021-1570_Application_11.17.2021_4.11.10_PM_2525990CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1051613 - Hot Water Heater
Applicant
First Name Last Name Company Name
Jimmie Williams Specialty Insulation
Number Street Apartment or Suite Number E-mail Address
218 Main St Suite 479 pamela@specialtyinsulation.com
City State Zip Phone Number Extension
Kirkland WA 98033 4258984390
Contractor
Company Name
SPECIALTY INSULATION NW LLC
Number Street Apartment or Suite Number
218 Main St Suite 479
City State Zip Phone Number Extension
Kirkland WA 98033 4258984390
State License Number License Expiration Date UBI # E-mail Address
PLATICP822DG 3/7/2022 BD:31451 97 pamela@specialtyinsulation.com
Project Location
Number Street Floor Number Suite or Room Number
7220 208TH ST SW 2
City Zip Code County Parcel Number
EDMONDS 98026 00858122000200
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
Joseph K Vail
Number Street Apartment or Suite Number
2266 WHIDBEY SHORES RD
City State Zip
LANGLEY WA 98260
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: 11/17/2021 Submitted By: Jimmie Williams
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1051613 - Hot Water Heater
Project Contact
Company Name: Specialty Insulation
Name: Jimmie Williams Email: pamela@specialtyinsulation.com
Address: 218 Main St Suite 479 Phone #: 4258984390
Kirkland WA 98033
Project Type Activity Type Scope of Work
Single Family Condominium Unit Repair or Replacement Plumbing
Project Name: Hot Water Heater
Description of Work: Replace Gas Hot 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 1
Work Location
Work Description/Location (example: 1 st floor, 1 st floor
Master Bath, Garage)
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