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Application_BLD2023-0572CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1314037 Applicant First Name Last Name Company Name KYLE VAUGHN Number Street Apartment or Suite Number E-mail Address 8930 218th St SW Vaughnakyle@gmail.com City State Zip Phone Number Extension Edmonds WA 98026-7863 (907) 529-5409 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 8930 218TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00380300100401 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 Kyle Vaughn Number Street Apartment or Suite Number 8930 218TH ST SW City State Zip EDMONDS WA 98026 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: 5/11/2023 Submitted By: KYLE VAUGHN Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1314037 Project Type Single Family Residential Project Details Piping Piping - Water Service Work Location Activity Type Repair or Replacement Work Description/Location (example: 1 st floor, Front yard and crawl space Master Bath, Garage) Scope of Work Plumbing Page 2 of 2