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Application_BLD2023-0240CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1273538 Applicant First Name Last Name Silvia Alfaro Company Name Number Street 531 Holly Drive Apartment or Suite Number E-mail Address silviaealfaro@gmail.com City State Zip edmonds WA 98020 Phone Number Extension (425) 359-7444 Contractor Company Name Erik D Plumber LLC Number Street 6229 Ne 198th st Apartment or Suite Number City State Zip Kenmore WA 98028 Phone Number Extension (206) 719-5758 State License Number License Expiration Date ERIKDDP786B7 2/7/2024 UBI # E-mail Address F;nini ngsg silviaealfaro@gmail.com Project Location Number Street 531 HOLLY DR Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032500207300 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 Kim R Williams Number Street 5129 175TH AVE SE Apartment or Suite Number City State SNOHOMISH WA Zip 98290 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: 2/23/2023 Submitted By: Silvia Alfaro Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1273538 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Backyard Faucet Master Bath, Garage) Scope of Work Plumbing Page 2 of 2