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BLD2025-0336_Application_3.10.2025_5.14.14_PM_4802434CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1624375 - Water Heater Replacement Applicant First Name Last Name Company Name Fernando Delgado State Plumbing Utilities Number Street Apartment or Suite Number E-mail Address 5240 Tacoma Mall blvd stateplumbingutilities@gmail.com City State Zip Phone Number Extension Tacoma WA 98409 (425) 436-7887 Contractor Company Name STATE PLUMBING UTILITIES LLC Number Street Apartment or Suite Number 5240 TACOMA MALL BLVD City State Zip Phone Number Extension TACOMA WA 98409 (206) 307-5346 State License Number License Expiration Date UBI # E-mail Address STATEPU762132 2/28/2026 FD5i1g754 stateplumbingutilities@gmail.com Project Location Number Street Floor Number Suite or Room Number 20714 76TH AVE W unit 9 City Zip Code County Parcel Number EDMONDS 98026 00671800000900 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 Katy Church LEE ERIC T & CHURCH KATHRYN L Number Street Apartment or Suite Number 20714 76TH AVE W 9 City State Zip EDMONDS WA 98026-6815 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: 3/10/2025 Submitted By: Fernando Delgado Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1624375 - Water Heater Replacement Project Contact Company Name: State Plumbing Utilities Name: Fernando Delgado Email: stateplumbingutilities@gmail.com Address: 5240 Tacoma Mall blvd Phone #: (425) 436-7887 Tacoma WA 98409 Project Type Activity Type Single Family Condominium Unit Repair or Replacement Project Name: Water Heater Replacement Description of Work: Replacement of water heater like for like Project Details Scope of Work Plumbing Fixtures for Building Permit 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) 1 Scope of Work Plumbing in closet in hallway in unit 9 Water heater Page 2 of 2