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Application_1216205CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1216205 Applicant First Name Last Name Dan Spencer Company Name SPENCER HOME SOLUTIONS LLC Number Street PO Box 1537 Apartment or Suite Number E-mail Address dan@spencerhomesolutions.com City State Zip Edmonds WA 98020 Phone Number Extension (425) 785-8832 Contractor Company Name SPENCER HOME SOLUTIONS LLC Number Street PO Box 1537 Apartment or Suite Number City State Zip EDMONDS WA 98020 Phone Number Extension (425) 361-7197 (425) 785-8832 State License Number License Expiration Date SPENCHS796NE 8/23/2023 UBI # E-mail Address BDggg1144 dan@spencerhomesolutions.com Project Location Number Street 17731 69TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00513100015405 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 Brooks & Jennifer Gay Number Street 20321 21STAVE NE Apartment or Suite Number City State SHORELINE WA Zip 98155 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: 10/14/2022 Submitted By: Dan Spencer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1216205 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Details Scope of Work Like for like equipment in the same location Fixtures Pressure Reducing Valve - Plum 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, Master Bath, Garage) 1 Install new water service from meter to house, in front yard. Page 2 of 2