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Application_1011779CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1011779 Applicant First Name Last Name Company Name Timothy Sadler Number Street Apartment or Suite Number E-mail Address 809 Laurel Way timothysadler@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 2069926198 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 809 8TH AVE S WAY City Zip Code County Parcel Number EDMONDS 98020 00455800000200 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 Timothy Sadler Number Street Apartment or Suite Number 809 LAUREL WAY City State Zip EDMONDS WA 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: 8/27/2021 Submitted By: Timothy Sadler Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1011779 Project Type Single Family Residential Project Details Fixtures Water Heater - Tankless Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Basement Laundry Room Master Bath, Garage) Scope of Work Plumbing Page 2 of 2