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Application_1011406CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1011406 Applicant First Name Last Name Company Name Bruce Ewing Ewing General Number Street Apartment or Suite Number E-mail Address 114 NW 181 st St bruceewinginc@msn.com City State Zip Phone Number Extension Shoreline WA 98177 (206)542-4941 Contractor Company Name EWING GENERAL CONTRACTORS LLC Number Street Apartment or Suite Number 114 NW 181 ST ST City State Zip Phone Number Extension SHORELINE WA 98177 2065424941 2069301702 State License Number License Expiration Date UBI # E-mail Address EWINGGC827Q1 11/21/2022 BD:3'1.1g976 bruceewinginc@msn.com Project Location Number Street Floor Number Suite or Room Number 24103 77TH PL W City Zip Code County Parcel Number EDMONDS 98026 00491100000802 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 Ronald I & Lisa M Summers Number Street Apartment or Suite Number 24103 77TH PL W City State Zip EDMONDS WA 98026 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: 8/26/2021 Submitted By: Bruce Ewing Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1011406 Project Type Single Family Residential Project Details Fixtures Clothes Washer Dishwasher Hose Bib Ice Maker Shower, Tub or Combo Toilet Activity Type Repair or Replacement Sinks Sink Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 1 1 1 1 3 Scope of Work Plumbing Main floor, single story residence. Page 2 of 2