Application_1465595CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1465595
Applicant
First Name Last Name Company Name
Van Caryl
Number Street Apartment or Suite Number E-mail Address
15701 75th PI. W. vcaryll1@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 870-8084
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
15701 75TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00513300002502
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
Van M Caryl
Number Street Apartment or Suite Number
15701 75TH PL W
City State Zip
EDMONDS WA 98026-4521
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: 3/28/2024 Submitted By: Van Caryl
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1465595
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Scope of Work
Like for like equipment in the same location
Fixtures
Hot Water Heater
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
Basement, Pantry,
Scope of Work
Plumbing
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