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Application_1137121CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1137121 Applicant First Name Last Name Penney Christianson Company Name Seatown Electric Corp. Number Street 4200 78th St SW Apartment or Suite Number E-mail Address permits@seatownservices.com City State Zip Mukilteo WA 98275 Phone Number Extension 4255106480 Contractor Company Name SEATOWN ELECTRIC HEATING & AIR Number Street 4200 78th St SW Apartment or Suite Number City State Zip Mukilteo WA 98275 Phone Number Extension 4255106480 State License Number License Expiration Date SEATOEH791 MR 7/12/2023 UBI # E-mail Address FD:3447F;94 permits@seatownservices.com Project Location Number Street 7912 191 ST ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00572900000300 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 Virginia Sanchez Number Street 7912 191 ST ST SW Apartment or Suite Number City State EDMONDS WA Zip 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: 5/4/2022 Submitted By: Penney Christianson Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1137121 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Fixtures Clothes Washer 1 Hose Bib 2 Ice Maker 1 Shower, Tub or Combo 1 Toilet 1 Hot Water Heater 1 Sinks Sink 1 Associated Building Permit? There is no other onsite work that requires a building permit. Other Kitchen 1 Work Location Work Description/Location (example: 1 st floor, On site work only. Master Bath, Garage) Page 2 of 2