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BLD2023-0804_Application_6.28.2023_2.40.06_PM_3637989CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1340143 - Waterline Replacement 9138 Applicant First Name Last Name Company Name Tyler Taft Gene Johnson Plumbing and Heating Number Street Apartment or Suite Number E-mail Address 10011 Greenwood Ave N info@genejohnsonplumbing.com City State Zip Phone Number Extension Seattle WA 98133 (206) 789-6610 Contractor Company Name GENE JOHNSON PLUMBING & HEATNG Number Street Apartment or Suite Number 10011 Greenwood Ave N City State Zip Phone Number Extension Seattle WA 98133 (206) 948-4115 State License Number License Expiration Date UBI # E-mail Address GENEJJP79803 10/1/2023 BD9B7gDgq info@genejohnsonplumbing.com Project Location Number Street Floor Number Suite or Room Number 9138 189TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00561500001000 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 Robert Deigert Number Street Apartment or Suite Number 9138 189TH PL 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. 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: 6/28/2023 Submitted By: Tyler Taft Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1340143 - Waterline Replacement 9138 Project Contact Company Name: Gene Johnson Plumbing and Heating Name: Tyler Taft Email: info@genejohnsonplumbing.com Address: 10011 Greenwood Ave N Phone #: (206) 789-6610 Seattle WA 98133 Project Type Single Family Residential Activity Type Repair or Replacement Scope of Work Plumbing Project Name: Waterline Replacement 9138 Description of Work: Trenchless replacement from water meter into garage new shut off valve and new pry in garage Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Pressure Reducing Valve - Plum Piping Piping - Water Service Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Water meter and garage (replacing water service from meter to garage) plus PRV Page 2 of 2