Application_1297979CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1297979
Applicant
First Name Last Name Company Name
Damen Evans
Number Street Apartment or Suite Number E-mail Address
24027 101 st Avenue West damenevans@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (949) 338-9600
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
24027 101 ST AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00555000002500
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
Damen & Chabot Nicole Evans
Number Street Apartment or Suite Number
24027 101 ST AVE W
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, 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: 4/12/2023 Submitted By: Damen Evans
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1297979
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 - Tankless
Piping
Gas Piping Outlets - Plum
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1
Scope of Work
Plumbing
Laundry room, and I will be capping a gasline
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