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BLD2022-0637_Application_5.16.2022_1.09.51_PM_2872665CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1143363 - water heater Applicant First Name Last Name Company Name Bradley Goorian Number Street Apartment or Suite Number E-mail Address 7813 218th st sw 52 bgoorian@gmail.com City State Zip Phone Number Extension edmonds WA 98026 2063700954 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 7813 218TH ST SW 52 City Zip Code County Parcel Number EDMONDS 98026 01033000005200 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 Bradley Goorian Number Street Apartment or Suite Number 7813 218th st sw 52 City State Zip edmonds WA 98026 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: 5/16/2022 Submitted By: Bradley Goorian Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1143363 - water heater Project Contact Company Name: Name: Bradley Goorian Email: bgoorian@gmail.com Address: 7813 218th st sw 52 Phone #: 2063700954 edmonds WA 98026 Project Type Activity Type Single Family Condominium Unit Repair or Replacement Project Name: water heater Description of Work: replace 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: 1st floor, Bathroom Master Bath, Garage) Scope of Work Plumbing Page 2 of 2