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Application_BLD2023-0819CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1341110 Applicant First Name Last Name Company Name Bryan Hutchison Quality Plumbing Number Street Apartment or Suite Number E-mail Address 1112 NW 53rd St bryanh@qualityplumbing.cc City State Zip Phone Number Extension Seattle Wa 98107 (206) 789-7676 Contractor Company Name Quality Plumbing Number Street Apartment or Suite Number 1112 NW 53rd St City State Zip Phone Number Extension Seattle Wa 98107 (206) 789-7676 State License Number License Expiration Date UBI # E-mail Address QUALIP*795NU 8/24/2023 FDD4R9n9s bryanh@qualityplumbing.cc Project Location Number Street Floor Number Suite or Room Number 9512 235TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00447600002200 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 Stephanie Renee Hatchman Number Street Apartment or Suite Number 9512 235TH PL SW City State Zip EDMONDS WA 98020 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: 6/30/2023 Submitted By: Bryan Hutchison Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1341110 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Gas to new range and fireplace insert Master Bath, Garage) Page 2 of 2