BLD2023-1216_Application_9.29.2023_9.46.34_AM_3812081CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1383071 -Water Heater Replacement
Applicant
First Name Last Name Company Name
David Clark
Number Street Apartment or Suite Number E-mail Address
8520 242nd St SW Apt 107 david.l.clark@icloud.com
City State Zip Phone Number Extension
Seattle WA 98115 (425) 652-5516
Contractor
Company Name
RMR HEATING & COOLING LLC
Number Street Apartment or Suite Number
27910 NE 148TH PL
City State Zip Phone Number Extension
DUVALL WA 98019 (206) 798-5013
State License Number License Expiration Date UBI # E-mail Address
RMRHEHC772BQ 1/18/2025 FD4953D5D david.l.clark@icloud.com
Project Location
Number Street Floor Number Suite or Room Number
8520 242ND ST SW 107
City Zip Code County Parcel Number
EDMONDS 98026 00678100010700
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
David & Molly Clark
Number Street Apartment or Suite Number
8520 242ND ST SW Apt 107
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: 9/29/2023 Submitted By: David Clark
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1383071 -Water Heater Replacement
Project Contact
Company Name:
Name: David Clark Email: david.l.clark@icloud.com
Address: 8520 242nd St SW Apt 107 Phone #: (425) 652-5516
Seattle WA 98115
Project Type Activity Type Scope of Work
Single Family Condominium Unit Repair or Replacement Plumbing
Project Name: Water Heater Replacement
Description of Work: Replacing standard electric water heater with Hybrid Electric / Heat Pump Water
Heater
Project Details
Scope of Work
Like for like equipment in the same location
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Additional Project Information
Total number of fixtures being added or altered 1
Work Location
Work Description/Location (example: 1st floor, Laundry Room
Master Bath, Garage)
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