BLD2024-0860_Application_7.1.2024_3.39.37_PM_4353400CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1511935 - Hot water tank
Applicant
First Name Last Name Company Name
Harald Domke
Number Street Apartment or Suite Number E-mail Address
510 Forsyth Ln 409 hgdomke@frontier.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 409-6967
Contractor
Company Name
e-z way plumbing LLC
Number Street Apartment or Suite Number
17462 160th st se
City State Zip Phone Number Extension
monroe wa 98272 (425) 214-3776
State License Number License Expiration Date UBI # E-mail Address
EZWAYWP799RF 2/24/2026 FD9gRiss4 hgdomke@frontier.com
Project Location
Number Street Floor Number Suite or Room Number
510 FORSYTH LN 4 409
City Zip Code County Parcel Number
EDMONDS 98020 00762400040900
Associated Building Permit Number Tenant Name
1 Harald Domke
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Harold G & Jeanene M Domke
Number Street Apartment or Suite Number
1837 SEAWARD WAY
City State Zip
COUPEVILLE WA 98239
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: 7/1/2024 Submitted By: Harald Domke
Page 1 of 2
i
CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1511935 - Hot water tank
Project Contact
Company Name:
Name:
Address:
Harald Domke
510 Forsyth Ln 409
Edmonds WA 98020
Project Type
Multifamily Residential
Email: hgdomke@frontier.com
Phone #: (206) 409-6967
Activity Type
Repair or Replacement
Project Name: Hot water tank
Description of Work: Hot water tank replacement
Project Details
Scope of Work
Like for like equipment in the same location
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Work to be performed by a licensed contractor
Yes
1
Scope of Work
Plumbing
4th floor, Master bedroom closet
Page 2 of 2