Application_1164813CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1164813
Applicant
First Name Last Name Company Name
ROXY KROGH Fast Water Heater Company
Number Street Apartment or Suite Number E-mail Address
11715 NORTH CREEK PARKWAY SOUTH C-106 rkrogh@FASTWATERHEATER.COM
City State Zip Phone Number Extension
BOTHELL WA 98011 (425) 636-7084
Contractor
Company Name
Fast Water Heater Company
Number Street Apartment or Suite Number
11715 NORTH CREEK PARKWAY SOUTH C-106
City State Zip Phone Number Extension
BOTHELL WA 98011 (425) 636-7084
State License Number License Expiration Date UBI # E-mail Address
FASTWWH79901 10/1/2023 F;n9.sR4544 rkrogh@FASTWATERHEATER.COM
Project Location
Number Street Floor Number Suite or Room Number
22109 95TH PL W
City Zip Code County Parcel Number
EDMONDS 98020 00544200200500
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
Tom H Haley
Number Street Apartment or Suite Number
22109 95TH PL W
City State Zip
EDMONDS WA 98020-4519
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: 6/27/2022 Submitted By: ROXY KROGH
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1164813
Project Type
Single Family Residential
Project Details
Fixtures
Water Heater - Gas Mechanical
Associated Building Permit?
Activity Type
Repair or Replacement
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, UTILITY ROOM
Master Bath, Garage)
Scope of Work
Plumbing
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