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Application_2021-1305CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1023866 Applicant First Name Last Name South West Plumbing Company Name South West Plumbing Number Street 2401 SW Alaska St Apartment or Suite Number E-mail Address permits@southwestplumbing.biz City State Zip Seattle WA 98106 Phone Number Extension 2069321777 Contractor Company Name SOUTH WEST PLBG & WTRHTRS LLC Number Street 2401 SW Alaska Apartment or Suite Number City State Zip Seattle WA 98106 Phone Number Extension (206) 932-1777 State License Number License Expiration Date SOUTHWP8070J 9/11/2022 UBI # E-mail Address FD1 '1'17744 permits@southwestplumbing.biz Project Location Number Street 761 14TH WAY SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00390100000800 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 James M Cannon Number Street 761 14TH WAY SW Apartment or Suite Number City State EDMONDS WA Zip 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: 9/22/2021 Submitted By: South West Plumbing Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1023866 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: 1 st floor, Replace full water line from meter to house. Master Bath, Garage) Page 2 of 2