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Application_1351553CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1351553 Applicant First Name Last Name Company Name Brian Nelson Number Street Apartment or Suite Number E-mail Address 8936 179th PI SW info@akerswater.com City State Zip Phone Number Extension Edmonds WA 98036 (206) 439-9251 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 8936 179TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00459000000800 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 Brian F Ttee\laurie E Ttee Nelson Number Street Apartment or Suite Number 8215 SIERRA DR 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: 7/21/2023 Submitted By: Brian Nelson Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1351553 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Piping Piping - Water Service Water Supply Piping Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Scope of Work Plumbing Work Description/Location (example: 1 st floor, Replace waterline from meter to house foundation. Master Bath, Garage) Page 2 of 2