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BLD2024-1542_Application_11.22.2024_11.57.05_AM_4634901CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1581833 - Vickery water heater Applicant First Name Last Name Company Name William Vickery Number Street Apartment or Suite Number E-mail Address 21807 87th PI W redmancharlie@hotmail.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 478-5888 Contractor Company Name Contractor Unknown 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 21807 87TH PL W City Zip Code County Parcel Number EDMONDS 98026 00893100000400 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 William & Carolyn Vickery Number Street Apartment or Suite Number 21807 87TH PL W City State Zip EDMONDS WA 98026-7825 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: 11/22/2024 Submitted By: William Vickery Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1581833 - Vickery water heater Project Contact Company Name: Name: Address: William Vickery 21807 87th PI W Edmonds WA 98026 Project Type Single Family Residential Email: redmancharlie@hotmail.com Phone #: (425) 478-5888 Activity Type Repair or Replacement Project Name: Vickery water heater Description of Work: replace gas water heater with electric water heater in garage Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Hot Water Heater Piping Water Supply Piping Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. 1 1 Scope of Work Plumbing replace gas water heater for electric water heater in garage Page 2 of 2