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BLD2022-0879_Application_7.5.2022_3.12.32_PM_2970656CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1168531 - Water Service Install Applicant First Name Last Name Company Name Dan Barger Apollo Plumbing Number Street Apartment or Suite Number E-mail Address 1239 State Ave dan@apolloplumbing.com City State Zip Phone Number Extension Marysville WA 98270 (425) 387-1507 Contractor Company Name Apollo Plumbing LLC Number Street Apartment or Suite Number 1239 State Ave City State Zip Phone Number Extension Marysville WA 98270 4253871507 State License Number License Expiration Date UBI # E-mail Address APOLLPL795QN 10/26/2023 F;n.in vinss dan@apolloplumbing.com Project Location Number Street Floor Number Suite or Room Number 23706 74TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00488800500401 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 Torey J & Ourada Kristin M Gilbertson Number Street Apartment or Suite Number 23706 74TH AVE W 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. 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: 7/5/2022 Submitted By: Dan Barger Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1168531 - Water Service Install Project Contact Company Name: Apollo Plumbing Name: Dan Barger Email: dan@apolloplumbing.com Address: 1239 State Ave Phone #: (425) 387-1507 Marysville WA 98270 Project Type Single Family Residential Activity Type Repair or Replacement Project Name: Water Service Install Description of Work: directional boring to replace water service line Project Details Scope of Work Plumbing Fixtures for Building Permit Piping Piping - Water Service Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Scope of Work Plumbing replacing the water service line from the meter to the home connection Page 2 of 2