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BLD2023-0117_Application_1.27.2023_1.32.50_PM_3337948CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1260608 - 821 Sprague plumbing Applicant First Name Last Name Company Name Ryan Smith Number Street Apartment or Suite Number E-mail Address 821 Sprague Street rmattsmitho@hotmail.com City State Zip Phone Number Extension Edomonds WA 98020 (339) 227-9835 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 821 SPRAGUE ST City Zip Code County Parcel Number EDMONDS 98020 00434208103300 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 Ryan & Barbara Blanchard Smith Number Street Apartment or Suite Number 821 SPRAGUE ST 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: 1/27/2023 Submitted By: Ryan Smith Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1260608 - 821 Sprague plumbing Project Contact Company Name: Name: Address: Ryan Smith 821 Sprague Street Edomonds WA 98020 Project Type Single Family Residential Email: rmattsmitho@hotmail.com Phone #: (339) 227-9835 Activity Type Alteration Project Name: 821 Sprague plumbing Description of Work: Toilet, Lavatory, Shower, Kitchen Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Dishwasher 1 Ice Maker 1 Shower, Tub or Combo 1 Toilet 1 Sinks Sink 2 Piping Water Line Re -Pipe Work Location Work Description/Location (example: 1 st floor, 1st Floor Master Bath, Garage) Scope of Work Plumbing Page 2 of 2