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Application_1191122CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1191122 Applicant First Name Last Name Company Name Quiana Woods beacon plumbing & mechanical, Inc. Number Street Apartment or Suite Number E-mail Address 8611 S. 192nd St. quiana@beaconplumbing.net City State Zip Phone Number Extension kent WA 98031 (800) 373-2456 Contractor Company Name BEACON PLUMBING & MECHNCAL INC Number Street Apartment or Suite Number 8611 S. 192nd Street City State Zip Phone Number Extension Kent WA 98031 (253) 893-7591 State License Number License Expiration Date UBI # E-mail Address BEACOPM795RD 12/13/2023 Rnglgsggq quiana@beaconplumbing.net Project Location Number Street Floor Number Suite or Room Number 20126 81 ST AVE W City Zip Code County Parcel Number EDMONDS 98026 00431200002801 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 R G Macphee Number Street Apartment or Suite Number 20126 81 ST 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: 8/22/2022 Submitted By: Quiana Woods Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1191122 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, Replace main water line from meter to house. Master Bath, Garage) Page 2 of 2