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Application_1058937CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1058937 Applicant First Name Last Name Company Name KATY KEHLE Fast Water Heater Company Number Street Apartment or Suite Number E-mail Address 11715 NORTH CREEK PARKWAY SOUTH C-106 kkehle@FASTWATERHEATER.COM City State Zip Phone Number Extension BOTHELL WA 98011 4256367074 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) 636-7084 State License Number License Expiration Date UBI # E-mail Address FASTWWH79901 10/1/2023 ri(».iR4544 kkehle@FASTWATERHEATER.COM Project Location Number Street Floor Number Suite or Room Number 1110 5TH AVE S 301 City Zip Code County Parcel Number EDMONDS 98020 00665700030100 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 Janice L Olver Number Street Apartment or Suite Number 1110 5TH AVE S 301 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, 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: 12/3/2021 Submitted By: KATY KEHLE Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1058937 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Hot Water Heater Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) HALL CLOSET Scope of Work Plumbing Page 2 of 2