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Application_2021-1697CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1065159 Applicant First Name Last Name Company Name tyler taft Gene Johnson Plumbing and Heating Number Street Apartment or Suite Number E-mail Address 10011 Greenwood Ave N info@genejohnsonplumbing.com City State Zip Phone Number Extension Seattle WA 98133 206-789-6610 Contractor Company Name GENE JOHNSON PLUMBING & HEATNG Number Street Apartment or Suite Number 10011 Greenwood Ave N City State Zip Phone Number Extension Seattle WA 98133 206-789-6610 State License Number License Expiration Date UBI # E-mail Address GENEJJP79803 10/1/2023 BD9B7gDgq info@genejohnsonplumbing.com Project Location Number Street Floor Number Suite or Room Number 720 9TH AVE S City Zip Code County Parcel Number EDMONDS 98020 27032500218600 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 Beth Ttee Featherstone Number Street Apartment or Suite Number 720 9TH AVE S City State Zip EDMONDS WA 98020-3311 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: 12/15/2021 Submitted By: tyler taft Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1065159 Project Type Single Family Residential Project Details Fixtures Pressure Reducing Valve - Plum Piping Piping - Water Service Water Supply Piping Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Plumbing Work Description/Location (example: 1 st floor, water meter to garage, line replacement Master Bath, Garage) Page 2 of 2