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BLD2024-0531_Application_4.22.2024_10.34.03_AM_4210454CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1476977 - Proliance Surgeons Puget Sound ENT Applicant First Name Last Name Company Name Anthony Danese FAST WATER HEATER Number Street Apartment or Suite Number E-mail Address 11715 N Creek PKWY S #C106 permits@fastwaterheater.com City State Zip Phone Number Extension Bothell WA 98011 (425) 636-7054 Contractor Company Name Fast Water Heater Company Number Street Apartment or Suite Number 11715 NORTH CREEK PARKWAY SOUTH C-106 City State Zip Phone Number Extension BOTHELL WA 98011 (425) 636-7054 State License Number License Expiration Date UBI # E-mail Address FASTWWH79901 10/1/2025 ri(».iR4544 permits@fastwaterheater.com Project Location Number Street Floor Number Suite or Room Number 21911 76TH AVE W 1 STE 211 City Zip Code County Parcel Number EDMONDS 98026 00545500200100 Associated Building Permit Number Tenant Name Proliance Surgeons Puget Sound ENT Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name MASTGECH LLC Number Street Apartment or Suite Number 21911 76TH AVE W 100 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: 4/22/2024 Submitted By: Anthony Danese Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1476977 - Proliance Surgeons Puget Sound ENT Project Contact Company Name: FAST WATER HEATER Name: Anthony Danese Email: permits@fastwaterheater.com Address: 11715 N Creek PKWY S Phone #: (425) 636-7054 #C106 Bothell WA 98011 Project Type Nonresidential Activity Type Repair or Replacement Project Name: Proliance Surgeons Puget Sound ENT Description of Work: Remove/Replace electric water heater Project Details Scope of Work Like for like equipment in the same location Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Work Location Work Description/Location (example: 1st floor, Utility Room Master Bath, Garage) Scope of Work Plumbing Page 2 of 2