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Application_2021-0639CITY OF EDMONDS M BuildingPermit.com Plumbing Application #957038 Applicant First Name Last Name Petr Yerokhin Company Name ProPlumb LLC Number Street 24231 115th PI SE Apartment or Suite Number E-mail Address petr.pro@comcast.net City State Zip Kent WA 98030 Phone Number Extension 2063358855 Contractor Company Name ProPlumb LLC Number Street 24231 115th PI SE Apartment or Suite Number City State Zip Kent WA 98030 Phone Number Extension (206) 335-8855 (206) 498-8130 State License Number License Expiration Date PROPLL*912PW 10/26/2021 UBI # E-mail Address RD9g57197 petr.pro@comcast.net Project Location Number Street 542 HOLLY DR Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032500208500 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 William M lii & Slavin Lauren A Conroy Number Street 542 HOLLY DR 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: 5/7/2021 Submitted By: Petr Yerokhin Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #957038 Project Type Single Family Residential Project Details Fixtures Shower, Tub or Combo Toilet Water Heater - Tankless Sinks Sink Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Activity Type Alteration 1 2 1 3 1st and 2nd floors Scope of Work Plumbing Page 2 of 2