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Application_BLD2023-0933CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1353283 Applicant First Name Last Name South West Plumbing Company Name South West Plumbing Number Street 4150 Lind Ave, SW Apartment or Suite Number E-mail Address permits@southwestplumbing.biz City State Zip Renton WA 98057 Phone Number Extension (206) 932-1777 Contractor Company Name South West Plmbg & Water Htrs Number Street 4150 Lind Ave SW Apartment or Suite Number City State Zip Renton WA 98057 Phone Number Extension (206) 932-1777 State License Number License Expiration Date SOUTHWP798OW 8/31/2023 UBI # E-mail Address FD1'1'17744 permits@southwestplumbing.biz Project Location Number Street 10410 231 ST ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00426100001000 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 John K Thomas Number Street 10410 231 ST ST SW Apartment or Suite Number City State EDMONDS WA Zip 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: 7/25/2023 Submitted By: South West Plumbing Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1353283 Project Type Single Family Residential Project Details Piping Piping - Water Service Water Supply Piping Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Master Bath, Garage) Scope of Work Plumbing Water SVC Line 1" to 120'-Trenchless excavate at meter by large evergreen tree and at house in driveway by removing asphalt and patching with cement. Will use boring machine to pull 2 inch sleeve and install 1 inch pex water line Page 2 of 2