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Application_1008994CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1008994 Applicant First Name Last Name Company Name Nathan Duell Number Street Apartment or Suite Number E-mail Address 18114 72nd ave w nateduell@gmail.com City State Zip Phone Number Extension Edmonds WA 98026 4253453445 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 18114 72ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00477500000700 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 Bethany Jensen -Duel) Number Street Apartment or Suite Number 18114 72ND AVE W City State Zip EDMONDS WA 98026-5509 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: 8/22/2021 Submitted By: Nathan Duell Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1008994 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Fixtures Clothes Washer Dishwasher Ice Maker Shower, Tub or Combo Toilet Water Heater - Gas Mechanical Sinks Sink Piping Back Flow Preventer Piping - Water Service Water Supply Piping Backflow Protective Device - 2" or smaller Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 1 1 1 1 2 1 1 1 Scope of Work Plumbing Galvanized pipes under the house and in the front yard. Page 2 of 2