BLD2022-0605_Application_5.9.2022_12.19.50_PM_2856243CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1139008 - Chip
Applicant
First Name Last Name Company Name
ROBERT OZANNE Ozannecustom
Number Street Apartment or Suite Number E-mail Address
11017 Gundersen In robert.ozanne@gmail.com
City State Zip Phone Number Extension
Burlington WA 98233 (425)238-0765
Contractor
Company Name
OZANNE CUSTOM LLC
Number Street Apartment or Suite Number
11017 GUNDERSEN LN
City State Zip Phone Number Extension
Burlington WA 98233 (425)238-0765
State License Number License Expiration Date UBI # E-mail Address
OZANNCL790QQ 11/18/2023 RD4R1g775 robert.ozanne@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
1226 SKYLINE DR
City Zip Code County Parcel Number
EDMONDS 98020 00423000004600
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
Charles & Lindsey Frolich
Number Street Apartment or Suite Number
1226 SKYLINE DR
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: 5/9/2022 Submitted By: ROBERT OZANNE
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1139008 - Chip
Project Contact
Company Name: Ozannecustom
Name: ROBERT OZANNE Email: robert.ozanne@gmail.com
Address: 11017 Gundersen In Phone #: (425)238-0765
Burlington WA 98233
Project Type
Single Family Residential
Activity Type Scope of Work
New Plumbing
Project Name: Chip
Description of Work: Installed short gas line from meter to future tankless and new gas furnace with a
barbecue stub next to gas meter
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Water Heater - Tankless
Piping
Gas Piping Outlets - Plum
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)
1
3
Installed gas pipe for barbecue future tankless hot
water heater and gas furnace located on basement
floor of house the test gage is located next to gas meter
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