BLD2022-0765_Application_6.10.2022_5.24.12_PM_2926358CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1157411 -Hot Water Heater
Applicant
First Name Last Name Company Name
Kevin Macfadden
Number Street Apartment or Suite Number E-mail Address
1130 5th Ave South 303 kmacfadden@comcast.net
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 227-3822
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
1130 5TH AVE S 303
City Zip Code County Parcel Number
EDMONDS 98020 00691200130300
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
Eunsook & Kevin Macfadden
Number Street Apartment or Suite Number
1130 5th Ave S 303
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: 6/10/2022 Submitted By: Kevin Macfadden
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1157411 -Hot Water Heater
Project Contact
Company Name:
Name: Kevin Macfadden Email: kmacfadden@comcast.net
Address: 1130 5th Ave South 303 Phone #: (206) 227-3822
Edmonds WA 98020
Project Type Activity Type
Single Family Condominium Unit Repair or Replacement
Project Name: Hot Water Heater
Description of Work: Replace 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: 1st floor, 3rd Floor, Laundry Room
Master Bath, Garage)
Scope of Work
Plumbing
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