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Application_BLD2022-1133CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1191975 Applicant First Name Last Name Company Name Erich Klemp Protocol Plumbing & Sewer Number Street Apartment or Suite Number E-mail Address 1624 Grove ST D2 erich@protocolplumbing.com City State Zip Phone Number Extension Marysville WA 98270 (425) 743-4940 Contractor Company Name PROTOCOL PLUMBING & SEWER Number Street Apartment or Suite Number 1624 Grove ST D2 City State Zip Phone Number Extension Marysville WA 98270 (425) 743-4940 State License Number License Expiration Date UBI # E-mail Address PROTOPS794PG 10/5/2023 F;n9F;7nns� erich@protocolplumbing.com Project Location Number Street Floor Number Suite or Room Number 525 MAGNOLIA LN City Zip Code County Parcel Number EDMONDS 98020 27032500203800 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 Franz & Howell Sabina Niedermeyer Number Street Apartment or Suite Number 525 MAGNOLIA LANE City State Zip EDMONDS WA 98020 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: 8/23/2022 Submitted By: Erich Klemp Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1191975 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Work Description/Location (example: 1st floor, Kitchen Gas Range Master Bath, Garage) Page 2 of 2