Application_1072419CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1072419
Applicant
First Name Last Name Company Name
Karen Matheney Washington Energy Services Company, LLC
Number Street Apartment or Suite Number E-mail Address
3909 196th St SW permits@washingtonenergy.com
City State Zip Phone Number Extension
Lynnwood WA 98036 2063786648
Contractor
Company Name
WASHINGTON ENERGY SVCS CO LLC
Number Street Apartment or Suite Number
3909 196th St SW
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 378-6648
State License Number License Expiration Date UBI # E-mail Address
WASHIES796NU 10/25/2023 Fini.r;97ni9 permits@washingtonenergy.com
Project Location
Number Street Floor Number Suite or Room Number
210 PINE ST
City Zip Code County Parcel Number
EDMONDS 98020 00582000300101
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
Thomas D & Judith M Scheiderer
Number Street Apartment or Suite Number
12057 2ND AVE NW
City State Zip
SEATTLE WA 98177
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: 1/5/2022 Submitted By: Karen Matheney
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1072419
Project Type
Single Family Residential
Project Details
Fixtures
Water Heater - Gas Mechanical
Associated Building Permit?
Activity Type
Repair or Replacement
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, GARAGE
Master Bath, Garage)
Scope of Work
Plumbing
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