Application_2021-1104CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1003359
Applicant
First Name Last Name
Karen Matheney
Company Name
Washington Energy Services Company, LLC
Number Street
3909 196th St SW
Apartment or Suite Number E-mail Address
permits@washingtonenergy.com
City State Zip
Lynnwood WA 98036
Phone Number Extension
2063786648
Contractor
Company Name
WASHINGTON ENERGY SVCS CO LLC
Number Street
3909 196th St SW
Apartment or Suite Number
City State Zip
Lynnwood WA 98036
Phone Number Extension
(206) 378-6648
State License Number License Expiration Date
WASHIES851 NS 9/7/2023
UBI # E-mail Address
F;ni..r;99n 9 permits@washingtonenergy.com
Project Location
Number Street
22915 108TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00610500000800
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
Merri Lee & Lovgren Robert C Jacobs
Number Street
22915 108TH AVE W
Apartment or Suite Number
City State
EDMONDS WA
Zip
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: 8/9/2021 Submitted By: Karen Matheney
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1003359
Project Type
Single Family Residential
Project Details
Fixtures
Water Heater - Gas Mechanical
Work Location
Activity Type
Repair or Replacement
Work Description/Location (example: 1 st floor, 1ST FLOOR
Master Bath, Garage)
Scope of Work
Plumbing
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