Application_1508879CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1508879
Applicant
First Name Last Name Company Name
David Jacowitz
Number Street Apartment or Suite Number E-mail Address
1201 8th Ave S dave.jaco@yahoo.com
City State Zip Phone Number Extension
Edmonds WA 98020 (425) 750-0432
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
1201 8TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 00547200000100
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 & Shayne Julie Jacowitz
Number Street Apartment or Suite Number
1201 8TH AVE S
City State Zip
EDMONDS WA 98020
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: 6/24/2024 Submitted By: David Jacowitz
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1508879
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
Scope of Work
Plumbing
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