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Application_BLD2022-1068CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1185852 Applicant First Name Last Name Company Name John Peterson Bob Oates Sewer Rooter Number Street Apartment or Suite Number E-mail Address 5804 s 228th st jpeterson@boboates.com City State Zip Phone Number Extension Kent WA 98032 (206) 789-4944 Contractor Company Name BOB OATES SEWER ROOTER LLC Number Street Apartment or Suite Number 600 W Nickerson St City State Zip Phone Number Extension SEATTLE WA 98119 (206)789-4944 State License Number License Expiration Date UBI # E-mail Address BOBOAOS783DA 5/17/2024 FD9ggRR69 jpeterson@boboates.com Project Location Number Street Floor Number Suite or Room Number 15631 70TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00513100002110 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 Beverly\steven Van Daal Number Street Apartment or Suite Number 15631 70TH 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, 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: 8/10/2022 Submitted By: John Peterson Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1185852 Project Type Single Family Residential Project Details Piping Piping - Water Service 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, front yard. Directionally bore with a poly sleeve. Line Master Bath, Garage) was replaced with 1" pex. Page 2 of 2