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BLD2021-1515_Application_11.5.2021_1.31.37_PM_2505479CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1045869 - Drain Line Replacement Applicant First Name Last Name Company Name Jonathan Scott Mr Rooter Plumbing Number Street Apartment or Suite Number E-mail Address 2000 S 116th St jonathans@mrrootersea.com City State Zip Phone Number Extension Seattle WA 98168 2067309506 Contractor Company Name Mr Rooter Plumbing Number Street Apartment or Suite Number 2000 S 116th St City State Zip Phone Number Extension Seattle WA 98168 2067309506 State License Number License Expiration Date UBI # E-mail Address MRROOP*022NE 8/19/2022 RD14.19179 jonathans@mrrootersea.com Project Location Number Street Floor Number Suite or Room Number 104 RAILROAD AVE N 1 None City Zip Code County Parcel Number EDMONDS 98020 27032300102800 Associated Building Permit Number Tenant Name City of Edmonds Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name * EDMONDS CITY OF Number Street Apartment or Suite Number 250 5TH AVE N City State Zip EDMONDS WA 98020-3146 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 11/5/2021 Submitted By: Jonathan Scott Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1045869 - Drain Line Replacement Project Contact Company Name: Mr Rooter Plumbing Name: Jonathan Scott Email: jonathans@mrrootersea.com Address: 2000 S 116th St Phone #: 2067309506 Seattle WA 98168 Project Type Activity Type Nonresidential Repair or Replacement Project Name: Drain Line Replacement Description of Work: Replacing drain lines and floor drains inside bathroom. Project Details Scope of Work Like for like equipment in the same location Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is no other onsite work that requires a building permit. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 3 Scope of Work Plumbing Men & Women Restroom & Utility Room Page 2 of 2