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Application_1048853CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1048853 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 MRROORP795NF 7/28/2023 RD14'19179 jonathans@mrrootersea.com Project Location Number Street Floor Number Suite or Room Number 6970 MEADOWDALE BEACH RD City Zip Code County Parcel Number EDMONDS 98026 00513100014404 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 Harry Robinson Number Street Apartment or Suite Number 6970 MEADOWDALE BEACH RD 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: 11/11/2021 Submitted By: Jonathan Scott Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1048853 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Piping Water Supply Piping Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Scope of Work Plumbing Work Description/Location (example: 1 st floor, Spot repair of leak in water service line near base of Master Bath, Garage) tree by meter. Page 2 of 2