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Application_2021-1357CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1029204 Applicant First Name Bryan Last Name Company Name Hutchison Quality Plumbing Number Street 1112 NW 53rd St Apartment or Suite Number E-mail Address bryanh@qualityplumbing.cc City State Seattle Wa Zip Phone Number Extension 98107 206-789-7676 Contractor Company Name Quality Plumbing Number Street 1112 NW 53rd St Apartment or Suite Number City Seattle State Zip Phone Number Extension Wa 98107 206-789-7676 State License Number QUALIP*795NU License Expiration Date UBI # E-mail Address 8/24/2023 FDD4R9n9s bryanh@qualityplumbing.cc Project Location Number Street 951 DALEY ST Floor Number Suite or Room Number City EDMONDS Zip Code County Parcel Number 98020 00434206302300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Joshua G & Kelly A Last Name or Company Name Anderson Number Street 951 DALEY ST Apartment or Suite Number City EDMONDS State Zip 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: 10/4/2021 Submitted By: Bryan Hutchison Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1029204 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Fixtures Shower, Tub or Combo 2 Toilet 2 Sinks Sink 2 Work Location Work Description/Location (example: 1st floor, Main floor Master Bath, Garage) Page 2 of 2