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BLD2022-1096_Application_8.16.2022_2.23.36_PM_3054395CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1188683 - Water main repair Applicant First Name Last Name Company Name Mardee Austin Number Street Apartment or Suite Number E-mail Address 729 Main Street mardeeaustin@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 214-8562 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 729 MAIN ST City Zip Code County Parcel Number EDMONDS 98020 00434208703100 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 Mardee Coyle \ Darren Austin Number Street Apartment or Suite Number 729 MAIN ST City State Zip Edmonds Washington 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: 8/16/2022 Submitted By: Mardee Austin Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1188683 - Water main repair Project Contact Company Name: Name: Address: Mardee Austin 729 Main Street Edmonds WA 98020 Email: mardeeaustin@gmail.com Phone #: (206) 214-8562 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Plumbing Project Name: Water main repair Description of Repair leak in water main located approx 3 feet behind water meter. Leak located under Work: front rockery on Main St. Work includes excavating rockery, repairing leak, and returning rockery to original state. Project Details Scope of Work Plumbing Fixtures for Building Permit Piping Piping - Water Service Water Supply Piping 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Water main leak at approximately 3 feet behind water main. Leak location is under front rockery on Main St. Work Description/Location (example: 1st floor, Work includes excavating rockery, repairing water Master Bath, Garage) main, and returning rockery to original state with possible additional protection / conduit around water main. Page 2 of 2