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Application_943963CITY OF EDMONDS M BuildingPermit.com Plumbing Application #943963 Applicant First Name Last Name Company Name MIKE'S PLUMBING MIKE'S PLUMBING Number Street Apartment or Suite Number E-mail Address PO Box 1535 OFFICE@MIKESPLUMBINGANDDRAIN.0 City State Zip Phone Number Extension EDMONDS WA 98020 (425)775-0201 Contractor Company Name MIKES PLUMBING/DRAIN CLEANING Number Street Apartment or Suite Number PO Box 1535 City State Zip Phone Number Extension Edmonds WA 98020-1535 (425) 775-0201 State License Number License Expiration Date UBI # E-mail Address mikespc990km 5/12/2021 FD9114:3DR OFFICE@MIKESPLUMBINGANDDRAIN. Project Location Number Street Floor Number Suite or Room Number 8328 200TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00431200000102 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 Ross D & Payte Stacy G Craig Number Street Apartment or Suite Number 1033 EDMONDS ST City State Zip EDMONDS WA 98020-2905 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: 4/2/2021 Submitted By: MIKE'S PLUMBING Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #943963 Project Type Single Family Residential Project Details Piping Water Supply Piping Work Location Activity Type Repair or Replacement Scope of Work Plumbing Work Description/Location (example: 1 st floor, On property in front yard. Water service line repair. Master Bath, Garage) Page 2 of 2