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Application_1298940CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1298940 Applicant First Name Last Name naomi daniels Company Name rescue rooter Number Street 175 Roy rd sw suite 101 Apartment or Suite Number E-mail Address sburlingame@ars.com City State Zip pacific WA 98372 Phone Number Extension (253) 872-6944 Contractor Company Name RESCUE ROOTER Number Street 965 Ridge Lake Blvd Apartment or Suite Number Suite 201 City State Zip Memphis TN 38120 Phone Number Extension 253-872-6944 (253) 872-4902 State License Number License Expiration Date RESCUR*783BO 2/2/2024 UBI # E-mail Address RD1 R.17g4q sburlingame@ars.com Project Location Number Street 1030 2ND AVE S Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00582000400300 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 Helen M Langvold Number Street 1030 2ND AVE S Apartment or Suite Number City State EDMONDS WA Zip 98020-4101 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: 4/13/2023 Submitted By: naomi daniels Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1298940 Project Type Single Family Residential Project Details Piping Piping - Water Service Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, in the front yard Master Bath, Garage) Scope of Work Plumbing Page 2 of 2