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Application_2021-0962CITY OF EDMONDS M BuildingPermit.com Plumbing Application #989922 Applicant First Name Last Name Company Name Karen Matheney Washington Energy Services Company, LLC Number Street Apartment or Suite Number E-mail Address 3909 196th St SW permits@washingtonenergy.com City State Zip Phone Number Extension Lynnwood WA 98036 2063786648 Contractor Company Name WASHINGTON ENERGY SVCS CO LLC Number Street Apartment or Suite Number 3909 196th St SW City State Zip Phone Number Extension Lynnwood WA 98036 (206) 378-6648 State License Number License Expiration Date UBI # E-mail Address WASHIES851 NS 9/7/2021 Fini.r;97ni9 permits@washingtonenergy.com Project Location Number Street Floor Number Suite or Room Number 23505 ROBIN HOOD DR City Zip Code County Parcel Number EDMONDS 98020 00571300401600 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 Mary Mcallister Number Street Apartment or Suite Number 23505 ROBIN HOOD DR City State Zip EDMONDS WA 98020-5117 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: 7/12/2021 Submitted By: Karen Matheney Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #989922 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, 1st floor Master Bath, Garage) Scope of Work Plumbing Page 2 of 2