BLD2023-0855_Application_7.11.2023_9.14.45_AM_3657812CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1344984 - Water heater replacements
Applicant
First Name Last Name Company Name
Van Brink Building Integrity
Number Street Apartment or Suite Number E-mail Address
3414 buildingintegrity@outlook.com
City State Zip Phone Number Extension
Bellevue WA 98009 (425) 269-0590
Contractor
Company Name
BUILDING INTEGRITY LLC
Number Street Apartment or Suite Number
PO Box 3414
City State Zip Phone Number Extension
BELLEVUE WA 98009 (425) 269-0590
State License Number License Expiration Date UBI # E-mail Address
BUILDIL902JW 5/5/2024 FD:3DD1 sis buildingintegrity@outlook.com
Project Location
Number Street Floor Number Suite or Room Number
23220 EDMONDS WAY 23226 Edmonds 105
City Zip Code County Parcel Number
EDMONDS 98026 00555300100902
Associated Building Permit Number Tenant Name
1343536 JASON, ANDREA COOLEY
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
KAUTZ ROUTE LLC
Number Street Apartment or Suite Number
PO BOX 31097
City State Zip
SEATTLE WA 98103
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: 7/11/2023 Submitted By: Van Brink
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1344984 - Water heater replacements
Project Contact
Company Name: Building Integrity
Name: Van Brink Email: buildingintegrity@outlook.com
Address: 3414 Phone #: (425) 269-0590
Bellevue WA 98009
Project Type
Multifamily Residential
Activity Type
Repair or Replacement
Project Name: Water heater replacements
Description of Work: changing out water heater in garage
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Plumbing Fixtures Per Plans
Additional Project Information
Total number of fixtures being added or altered 1
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage) garage
Work to be performed by a licensed contractor
Yes
Scope of Work
Plumbing
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