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BLD2023-0476_Application_4.17.2023_9.04.24_AM_3486093_1CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1299935 - 2nd Floor kitchen drain pipe repair Applicant First Name Last Name Company Name Ryan Collier Jim Dandy sewer and plumbing Number Street Apartment or Suite Number E-mail Address 6202 214th street sw ryanc@jimdandysewer.com City State Zip Phone Number Extension mountlake terrace WA 98043 (206) 502-5250 Contractor Company Name Jim Dandy Sewer & Plumbing Number Street Apartment or Suite Number 6202 214th St SW City State Zip Phone Number Extension Mountlake Terrace WA 98043 (206) 633-1141 State License Number License Expiration Date UBI # E-mail Address JIMDADE791 MG 12/23/2023 RDigri74:3.'l Mikem@jimdandysewer.com Project Location Number Street Floor Number Suite or Room Number 121 5TH AVE 1st and 2nd floor 2nd floor kitchen, City Zip Code County Parcel Number EDMONDS 98020 00434400100300 Associated Building Permit Number Tenant Name City of Edmonds Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 250 5TH AVE N City State Zip EDMONDS WA 98020-3146 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: 4/17/2023 Submitted By: Ryan Collier Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1299935 - 2nd Floor kitchen drain pipe repair Project Contact Company Name: Jim Dandy sewer and plumbing Name: Ryan Collier Email: ryanc@jimdandysewer.com Address: 6202 214th Street SW Phone #: (206) 502-5250 Mountlake terrace WA 98043 Project Type Activity Type Scope of Work Nonresidential Repair or Replacement Plumbing Project Name: 2nd Floor kitchen drain pipe repair Description of Work: Replace about 12" of the drain line serving the 2nd floor kitchen sink. Project Details Scope of Work Like for like equipment in the same location Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is no other onsite work that requires a building permit. Additional Project Information Total number of fixtures being added or altered 1 Work Location Work Description/Location (example: 1 st floor, Replacing compromised section of drain line for 2nd Master Bath, Garage) floor kitchen sink. Access from 1st floor in records room. Page 2 of 2