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Application_1172118CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1172118 Applicant First Name Last Name Sarah Jackson Company Name ARS rescue Rooter Number Street 175 Roy Rd SW Apartment or Suite Number E-mail Address Sajackson@ars.com City State Zip Pacific wa 98047 Phone Number Extension (253) 872-6944 Contractor Company Name RESCUE ROOTER Number Street 175A Roy Rd SW Apartment or Suite Number Roy Rd SW City State Zip Pacific wa 98047 Phone Number Extension 2538726944 (253) 872-4902 State License Number License Expiration Date RESCUR*783130 2/2/2024 UBI # E-mail Address FD1 R.17g4q Sajackson@ars.com Project Location Number Street 539 HOMELAND DR Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00477300001501 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 Wes C Dawson Number Street 539 HOMELAND DR Apartment or Suite Number City State EDMONDS WA Zip 98020-4026 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: 7/12/2022 Submitted By: Sarah Jackson Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1172118 Project Type Single Family Residential Project Details Piping Water Supply Piping Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Plumbing Work Description/Location (example: 1 st floor, water service from meter to foundation of home Master Bath, Garage) Page 2 of 2