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Application_1170437CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1170437 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 (425) 636-7054 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) 636-7054 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 7417 236TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00488800300702 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 Douglas D & Sherri L Hortin Number Street Apartment or Suite Number 7417 236TH ST SW 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, 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: 7/8/2022 Submitted By: KATY KEHLE Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1170437 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Water Heater - Gas Mechanical Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) BASEMENT Scope of Work Plumbing Page 2 of 2