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Application_966346CITY OF EDMONDS M BuildingPermit.com Plumbing Application #966346 Applicant First Name Last Name Chip Montague Company Name PriCor Techonologies Number Street 2825 S 154th St Apartment or Suite Number E-mail Address cmontague@pricortech.com City State Zip Seattle WA 98188 Phone Number Extension (253)508-0460 Contractor Company Name PRICOR TECHNOLOGIES LLC Number Street 2825 SOUTH 154TH STREET Apartment or Suite Number City State Zip SEATTLE WA 98188 Phone Number Extension (206)258-5270 State License Number License Expiration Date PRICOTL865KZ 5/14/2022 UBI # E-mail Address cmontague@pricortech.com Project Location Number Street 8609 194TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00506100000200 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 Barbara J Howery Number Street 1102 NE 146TH ST Apartment or Suite Number City State SHORELINE WA Zip 98115 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: 5/20/2021 Submitted By: Chip Montague Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #966346 Project Type Single Family Residential Project Details Piping Piping - Water Service Water Supply Piping Work Location Activity Type Repair or Replacement Scope of Work Plumbing Work Description/Location (example: 1st floor, on private property outside by the garage Master Bath, Garage) Page 2 of 2