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BLD2022-0992_Application_7.26.2022_11.41.47_PM_3014484CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1173055 - Hybrid Water Heater Applicant First Name Last Name Company Name Thomas Bruhns Number Street Apartment or Suite Number E-mail Address 8513 218TH ST SW k7itm@msn.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 345-9241 Contractor Company Name Owner 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 8513 218TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27043000208700 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 V & Moreland Barbara A Bruhns Number Street Apartment or Suite Number 8513 218TH 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. 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: 7/26/2022 Submitted By: Thomas Bruhns Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1173055 - Hybrid Water Heater Project Contact Company Name: Name: Thomas Bruhns Email: k7itm@msn.com Address: 8513 218TH ST SW Phone #: (425) 345-9241 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Name: Hybrid Water Heater Description of Work: Install new electric hybrid water heater. Remove old gas on -demand WH. Add electrical circuits for WH, microwave, garage shop Project Details Fixtures Hot Water Heater Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Garage, on elevated floor at rear Page 2 of 2