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Application_1421004CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1421004 Applicant First Name Last Name Karla Amaya Company Name Cardinal Heating & Air Number Street 13649 NE 126th PI Apartment or Suite Number E-mail Address 101 karlaa@cardinalheating.com City State Zip Kirkland WA 98034 Phone Number Extension (425) 827-9997 152 Contractor Company Name CARDINAL HEATING & AIR Number Street 13649 NE 126th PL Apartment or Suite Number 101 City State Zip Kirkland WA 98034 Phone Number Extension (425) 827-9997 State License Number License Expiration Date CARDIHA796RD 11/18/2025 UBI # E-mail Address SD15P.171 R karlaa@cardinalheating.com Project Location Number Street 8415 215TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00555400000200 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 Nancy Edna Crawford Number Street 8415 215TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026-7318 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: 12/26/2023 Submitted By: Karla Amaya Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1421004 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Laundry room Scope of Work Plumbing Page 2 of 2