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Application_BLD2022-1238CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1203078 Applicant First Name Last Name Bryan Hutchison Company Name Quality Plumbing Number Street 1112 NW 53rd St Apartment or Suite Number E-mail Address bryanh@qualityplumbing.cc City State Zip Seattle Wa 98107 Phone Number Extension (206) 789-7676 Contractor Company Name Quality Plumbing Number Street 1112 NW 53rd St Apartment or Suite Number City State Zip Seattle Wa 98107 Phone Number Extension 206-789-7676 State License Number License Expiration Date QUALIP*795NU 8/24/2023 UBI # E-mail Address FDD4R9n9s bryanh@qualityplumbing.cc Project Location Number Street 7812 200TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27041900107600 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 Danielle Sierra Number Street 7812 200TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 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: 9/16/2022 Submitted By: Bryan Hutchison Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1203078 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Scope of Work Like for like equipment in the same location Fixtures Clothes Washer 1 Shower, Tub or Combo 1 Toilet 1 Sinks Sink 2 Piping Water Supply Piping 2 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Page 2 of 2