BLD2022-1680_Application_12.12.2022_11.32.45_AM_3263919CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1241344 - CHUNG
Applicant
First Name Last Name Company Name
JACCI DANIELS WA WATER HTRS, HTNG, & AIR INC
Number Street Apartment or Suite Number E-mail Address
PO Box 5158 wawahvac@gmail.com
City State Zip Phone Number Extension
KENT WA 98064 (425) 883-4871
Contractor
Company Name
WA WATER HTRS, HTNG, & AIR INC
Number Street Apartment or Suite Number
6622 232ND AVE E
City State Zip Phone Number Extension
BUCKLEY WA 98321 (425)883-4871
State License Number License Expiration Date UBI # E-mail Address
WAWATWH780BO 1/18/2024 FD4R4FDRD wawahvac@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
23525 74TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27043200200400
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
Richard Y S & Holly H Chung
Number Street Apartment or Suite Number
23525 74TH AVE W
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: 12/12/2022 Submitted By: JACCI DANIELS
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1241344 - CHUNG
Project Contact
Company Name: A WATER HTRS, HTNG, & AIR
INC
Name: JACCI DANIELS Email: wawahvac@gmail.com
Address: PO Box 5158 Phone #: (425) 883-4871
KENT WA 98064
Project Type
Single Family Residential
Activity Type
Repair or Replacement
Project Name: CHUNG
Description of Work: REMOVE & REPLACE GAS WATER HEATER
Project Details
Fixtures
Water Heater - Gas Mechanical 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, Basement
Master Bath, Garage)
Scope of Work
Plumbing
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