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Application_1069681CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1069681 Applicant First Name Last Name Company Name Nicole Marinez Marinez Plumbing, LLC Number Street Apartment or Suite Number E-mail Address PO Box 1535 admin@mikesplumbinganddrain.com City State Zip Phone Number Extension Edmonds WA 98020-1535 4257750201 Contractor Company Name MIKES PLUMBING/DRAIN CLEANING Number Street Apartment or Suite Number PO Box 1535 City State Zip Phone Number Extension Edmonds WA 98020-1535 (425) 775-0201 State License Number License Expiration Date UBI # E-mail Address MIKESPD795MO 12/1/2023 BD9114ins nicole@mikesplumbinganddrain.com Project Location Number Street Floor Number Suite or Room Number 8619 BOWDOIN WAY City Zip Code County Parcel Number EDMONDS 98026 00373600501706 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 Mary Swift Number Street Apartment or Suite Number 8619 Bowdoin 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: 12/28/2021 Submitted By: Nicole Marinez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1069681 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Water Heater - Gas Mechanical Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, laundry room Master Bath, Garage) Scope of Work Plumbing Page 2 of 2