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Application_1401973CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1401973 Applicant First Name Last Name Vicki Leatherman Company Name SeaTown Electric Plumbing Heating and Air Number Street 4200 78th St SW Apartment or Suite Number E-mail Address PERMITS@seatownservices.com City State Zip Mukilteo WA 98275 Phone Number Extension (352) 353-1690 Contractor Company Name SEATOWN ELECTRIC HEATING & AIR Number Street 4200 78th ST SW Apartment or Suite Number City State Zip Mukilteo WA 98275 Phone Number Extension (352) 353-1690 State License Number License Expiration Date SEATOEH791 MR 7/12/2025 UBI # E-mail Address FD:3447B94 permits@seatownservices.com Project Location Number Street 717 15TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00390000000700 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 Geir B & Amy E Hansen Number Street 2505 20TH AVE E Apartment or Suite Number City State SEATTLE WA Zip 98112 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: 11/8/2023 Submitted By: Vicki Leatherman Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1401973 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 Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Scope of Work Plumbing Inside the home in a closet designated for the HWT Page 2 of 2