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Application_1093231CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1093231 Applicant First Name Last Name Company Name Joe Gaddy Number Street Apartment or Suite Number E-mail Address 7004 136 St SW jgad60@hotmail.com City State Zip Phone Number Extension Edmonds WA 98026 2063006143 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 432 3RD AVE N City Zip Code County Parcel Number EDMONDS 98020 27032400206800 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 Joe (rep for) ED GATESELVAIN LLC Number Street Apartment or Suite Number 8215 TALBOT RD City State Zip EDMONDS WA 98026 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: 2/15/2022 Submitted By: Joe Gaddy Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1093231 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Piping Piping - Water Service 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, Repair break in water supply line between meter and Master Bath, Garage) house. Directly in front of front porch. Page 2 of 2