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Application_BLD2023-0505CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1303834 Applicant First Name Last Name Company Name Lucinda Honeycutt Bobs Heating and Air Conditioning Number Street Apartment or Suite Number E-mail Address 14148 NE 190th St Ihoneycutt@bobsheating.com City State Zip Phone Number Extension Woodinville WA 98072 (800) 840-3346 Contractor Company Name BOB'S HEATING & AIR CNDTNG LLC Number Street Apartment or Suite Number 14148 NE 190th St City State Zip Phone Number Extension Woodinville WA 98072 (800) 840-3346 State License Number License Expiration Date UBI # E-mail Address BOBSHHA796RD 11/12/2023 Rni597n9R Ihoneycutt@bobsheating.com Project Location Number Street Floor Number Suite or Room Number 21325 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00826500000100 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 Laurel A Defrang-Peterson Number Street Apartment or Suite Number 21325 76TH AVE W Al City State Zip EDMONDS WA 98026-7511 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: 4/24/2023 Submitted By: Lucinda Honeycutt Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1303834 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Plumbing Project Details Fixtures Water Heater - Gas Mechanical 1 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) garage Page 2 of 2