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BLD2022-1470_Application_10.25.2022_3.38.09_PM_3185022CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1221030 - Cambell Project Applicant First Name Last Name Company Name ryan myers Ryan's Custom Plumbing Number Street Apartment or Suite Number E-mail Address 22529 73rd pl w ryanscustomplumbing@gmail.com City State Zip Phone Number Extension edmonds WA 98026 (425) 870-7960 Contractor Company Name RYAN'S CUSTOM PLUMBING INC Number Street Apartment or Suite Number 22529 73rd PI W City State Zip Phone Number Extension EDMONDS WA 98026 (425)870-7960 State License Number License Expiration Date UBI # E-mail Address RYANSCP784KB 5/23/2024 FD4,iA9517 ryanscustomplumbing@gmail.com Project Location Number Street Floor Number Suite or Room Number 1610 9TH AVE N City Zip Code County Parcel Number EDMONDS 98020 00429200000100 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 Susan D & Gerke Michael R Campbell Number Street Apartment or Suite Number 1610 9TH AVE N City State Zip EDMONDS WA 98020 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: 10/25/2022 Submitted By: ryan myers Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1221030 - Cambell Project Project Contact Company Name: Ryan's Custom Plumbing Name: ryan myers Email: ryanscustomplumbing@gmail.com Address: 22529 73rd pl w Phone #: (425) 870-7960 edmonds WA 98026 Project Type Single Family Residential Activity Type Alteration Project Name: Cambell Project Description of Work: primary bath and laundry room remodel on 2nd floor Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Shower, Tub or Combo Toilet Sinks Sink Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 2 1 3 Scope of Work Plumbing 2nd floor primary bath, 2nd floor laundry room 1st floor hall bathroom Page 2 of 2