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BLD2022-1297_Application_9.28.2022_12.27.32_PM_3134012CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1207388 - NADINE EFTEP Applicant First Name Last Name Company Name naomi daniels rescue rooter Number Street Apartment or Suite Number E-mail Address 175 Roy rd sw nitucker@ars.com City State Zip Phone Number Extension pacific WA 98372 (253) 872-6944 Contractor Company Name RESCUE ROOTER Number Street Apartment or Suite Number 965 Ridge Lake Blvd Suite 201 City State Zip Phone Number Extension Memphis TN 38120 (253) 872-5330 (253) 872-4902 State License Number License Expiration Date UBI # E-mail Address RESCUR*783BO 2/2/2024 RD1 R.17g4q nitucker@ars.com Project Location Number Street Floor Number Suite or Room Number 6604 170TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00419900000600 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 Nadine Estep Number Street Apartment or Suite Number 6604 170TH PL SW City State Zip EDMONDS WA 98026-5214 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: 9/28/2022 Submitted By: naomi daniels Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1207388 - NADINE EFTEP Project Contact Company Name: rescue rooter Name: naomi daniels Email: nitucker@ars.com Address: 175 Roy rd sw Phone #: (253) 872-6944 pacific WA 98372 Project Type Single Family Residential Activity Type Repair or Replacement Project Name: NADINE EFTEP Description of Work: REPLACE 100FT OF WATERLINE. Project Details Scope of Work Plumbing Fixtures for Building Permit Piping Piping - Water Service Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, basement. Master Bath, Garage) Scope of Work Plumbing Page 2 of 2