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BLD2022-1053_Application_8.8.2022_11.27.39_AM_3037737CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1184667 - Fireplace and bbq Applicant First Name Last Name Company Name Mikal Bell Trident plumbing and drain Number Street Apartment or Suite Number E-mail Address 14751 N. Kelsey st 105-144 mikal@tridentplumbinganddrain.com City State Zip Phone Number Extension Monroe WA 98272 (425) 583-0626 Contractor Company Name TRIDENT PLUMBNG & DRN CLNG LLC Number Street Apartment or Suite Number 14751 N. Kelsey st Ste 105-144 City State Zip Phone Number Extension MONROE WA 98272 (425)583-0626 State License Number License Expiration Date UBI # E-mail Address TRIDEPD795NG 7/30/2023 BD:3575DD7 mikal@tridentplumbinganddrain.com Project Location Number Street Floor Number Suite or Room Number 22515 73RD PL W City Zip Code County Parcel Number EDMONDS 98026 00391600300700 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 Eric & Heather Ledgerwood Number Street Apartment or Suite Number 1982 W BAYSHORE RD 120 City State Zip PALO ALTO CA 94303-5201 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: 8/8/2022 Submitted By: Mikal Bell Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1184667 - Fireplace and bbq Project Contact Company Name: Trident plumbing and drain Name: Mikal Bell Email: mikal@tridentplumbinganddrain.com Address: 14751 N. Kelsey st Ste Phone #: (425) 583-0626 105-144 Monroe WA 98272 Project Type Single Family Residential Activity Type Alteration Scope of Work Plumbing Project Name: Fireplace and bbq Description of Work: Adding a gas line to a new gas fireplace. Alsi I stalling a tee in said gas line for a natural Gass bbq at corner of house. Project Details Scope of Work Plumbing Fixtures for Building Permit Piping Gas Piping Outlets - Plum 2 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Outdoors Master Bath, Garage) Page 2 of 2