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ENG2022-0269 SEWER PERMITCITY OF EDMONDS M BuildingPermit.com Utilities Application #1151599 - Rastall Applicant First Name Last Name Company Name Trent Frame Zoom Drain Number Street Apartment or Suite Number E-mail Address 10011 Greenwood Ave N Trent.Frame@zoomdrain.com City State Zip Phone Number Extension Seattle WA 98133 (206) 665-0059 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 2066650059 State License Number License Expiration Date UBI # E-mail Address GENEJJP924RT 1/11/2023 FD9R7gDgq Trent.Frame@zoomdrain.com Project Location Number Street Floor Number Suite or Room Number 617 ALOHA WAY City Zip Code County Parcel Number EDMONDS 98020 00436500000300 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 Jean Phelps Rastall Number Street Apartment or Suite Number 617 ALOHA WAY 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. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 6/1/2022 Submitted By: Trent Frame Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1151599 - Rastall Project Contact Company Name: Zoom Drain Name: Trent Frame Email: Trent.Frame@zoomdrain.com Address: 10011 Greenwood Ave N Phone #: (206) 665-0059 seattle WA 98133 Project Type Activity Type Scope of Work Single Family Residential Utility Modification Partial Line Replacement Project Name: Rastall Description of Work: Side sewer spot repair Project Details Project Information Repair Page 2 of 2