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Application_2021-1382CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1031597 Applicant First Name Last Name josiah herrera Company Name GO JO PLUMBING Number Street 10426 state route 530 Apartment or Suite Number E-mail Address itisgojo@yahoo.com City State Zip arlington WA 98223 Phone Number Extension 2062769758 Contractor Company Name GO JO PLUMBING Number Street 10426 STATE ROUTE 530 NE Apartment or Suite Number City State Zip ARLINGTON WA 98223 Phone Number Extension (206) 276-9758 (206) 919-2542 State License Number License Expiration Date GOJOPJP920C1 2/24/2022 UBI # E-mail Address F697P4766 itisgojo@yahoo.com Project Location Number Street 1141 VIEWLAND WAY Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00606600001800 Associated Building Permit Number na Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Peter D & Maupin Terri K Crouch Number Street 6046 ANN ARBOR AVE NE Apartment or Suite Number City State SEATTLE WA Zip 98115 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: 10/7/2021 Submitted By: josiah herrera Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1031597 Project Type Single Family Residential Project Details Piping Back Flow Preventer Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Activity Type Scope of Work New Plumbing Front yard off of the 1.5" water main. Double check will be installed with a meter box for access. Page 2 of 2