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Application_1210622CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1210622 Applicant First Name Brian Last Name McCarty Company Name Bates Plumbing Inc Number Street 7704 64th PI NE Apartment or Suite Number E-mail Address batesplumbinginc@gmail.com City State Marysville WA Zip 98270 Phone Number Extension (425) 442-3490 Contractor Company Name Bates Plumbing Inc Number Street 7704 64th PI NE Apartment or Suite Number City Marysville State Zip WA 98270 Phone Number Extension (425) 442-3490 State License Number BATESP1793RG License Expiration Date 12/12/2023 UBI # E-mail Address BDD9RD9S1 batesplumbinginc@gmail.com Project Location Number Street 9203 PARK RD Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00836400000600 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Richard & Tribiano Susan Last Name or Company Name Tribiano Number Street 9203 PARK RD Apartment or Suite Number City EDMONDS State WA Zip 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: 10/3/2022 Submitted By: Brian McCarty Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1210622 Project Type Single Family Residential Project Details Scope of Work Like for like equipment in the same location Fixtures Shower, Tub or Combo Toilet Sinks Activity Type Alteration 1 1 Sink 2 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master bathroom Master Bath, Garage) Scope of Work Plumbing Page 2 of 2