BLD2022-1212_Application_9.13.2022_11.34.54_AM_3105249CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1201169 - Megan Wall
Applicant
First Name Last Name Company Name
Sam Teddy SJ TEDDY PLUMBING CNTRTRS LLC
Number Street Apartment or Suite Number E-mail Address
9228 Goblin Ln sam@sjteddy.com
City State Zip Phone Number Extension
Everett WA 98208 (425) 241-5544
Contractor
Company Name
SJ TEDDY PLUMBING CNTRTRS LLC
Number Street Apartment or Suite Number
9228 Goblin Ln
City State Zip Phone Number Extension
Everett WA 98208 (425)241-5544
State License Number License Expiration Date UBI # E-mail Address
SJTEDTP79OMN 7/13/2023 BD47514R.'I sam@sjteddy.com
Project Location
Number Street Floor Number Suite or Room Number
10406 226TH PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00610400001900
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
Tyler G & Walla Megan J Chamberlin
Number Street Apartment or Suite Number
10406 226TH PL SW
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: 9/13/2022 Submitted By: Sam Teddy
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1201169 - Megan Wall
Project Contact
Company Name: SJ TEDDY PLUMBING CNTRTRS LLC
Name: Sam Teddy Email: sam@sjteddy.com
Address: 9228 Goblin Ln Phone #: (425) 241-5544
Everett WA 98208
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Name: Megan Wall
Description of Work: Install tankless water heater and remove existing storage tank gas heater.
Project Details
Scope of Work
Like for like equipment in the same location
Fixtures
Water Heater - Tankless 1
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, Laundry Room
Master Bath, Garage)
Page 2 of 2