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Application_1013571CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1013571 Applicant First Name Last Name Company Name ryan myers Ryan's Custom Plumbing Number Street Apartment or Suite Number E-mail Address 22529 73rd pl w ryanscustomplumbing@gmail.com City State Zip Phone Number Extension edmonds WA 98026 (425) 870-7960 Contractor Company Name RYAN'S CUSTOM PLUMBING INC Number Street Apartment or Suite Number 22529 73rd PI W City State Zip Phone Number Extension EDMONDS WA 98026 (425)870-7960 State License Number License Expiration Date UBI # E-mail Address RYANSCP805B2 1/22/2022 FD4,iA9517 ryanscustomplumbing@gmail.com Project Location Number Street Floor Number Suite or Room Number 18910 94TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00434600006402 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 bill SEVERSON DONA SURVIVOR'S TRUST Number Street Apartment or Suite Number 18910 94TH AVE W 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: 8/31/2021 Submitted By: ryan myers Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1013571 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Drains Floor Drain 1 Fixtures Clothes Washer 1 Dishwasher 1 Hose Bib 3 Ice Maker 1 Pressure Reducing Valve - Plum 1 Shower, Tub or Combo 2 Toilet 1 Water Heater - Tankless 1 Sinks Sink 2 Work Location Work Description/Location (example: 1 st floor, upstairs hall bath, kithcen, basement bathroom, Master Bath, Garage) basement laundry Page 2 of 2