Application_1384061CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1384061
Applicant
First Name Last Name
Karen Matheney
Company Name
Washington Energy Services Company, LLC
Number Street
3909 196th St SW
Apartment or Suite Number E-mail Address
permits@washingtonenergy.com
City State Zip
Lynnwood WA 98036
Phone Number Extension
(206) 378-6648
Contractor
Company Name
WASHINGTON ENERGY SVCS CO LLC
Number Street
3909 196th St SW
Apartment or Suite Number
City State Zip
Lynnwood WA 98036
Phone Number Extension
(206) 378-6648
State License Number License Expiration Date
WASHIES796NU 10/25/2025
UBI # E-mail Address
F;ni..r;99n 9 permits@washingtonenergy.com
Project Location
Number Street
9515 FOREST DELL DR
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00736900000100
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
John Espinola
Number Street
9515 FOREST DELL DR
Apartment or Suite Number
City State
EDMONDS WA
Zip
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: 10/2/2023 Submitted By: Karen Matheney
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1384061
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 - Gas Mechanical
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor, 1 st floor
Master Bath, Garage)
Scope of Work
Plumbing
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