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Application_1219735CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1219735 Applicant First Name Last Name Company Name chris laneuville Topher's Home Services LLC Number Street Apartment or Suite Number E-mail Address 7804 189TH PL SW tophershs.11c@gmail.com City State Zip Phone Number Extension EDMONDS WA 98026 (425) 239-7637 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 7804 189TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00458500001200 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 Travis D Gaines Number Street Apartment or Suite Number 7804 189TH PL SW City State Zip EDMONDS WA 98026-6026 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: 10/23/2022 Submitted By: chris Ianeuville Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1219735 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Piping Gas Piping Outlets - Plum Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, furnace room, kitchen Master Bath, Garage) Page 2 of 2