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Application_BLD2023-0969CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1356374 Applicant First Name Last Name Pam Dressel Company Name AURORA PLUMBING SUPPLY CO., IN Number Street 14330 Aurora Ave N Apartment or Suite Number E-mail Address pam@auroraplumbing.com City State Zip SEATTLE WA 98133 Phone Number Extension (206) 364-1140 Contractor Company Name Aurora Plumbing Number Street 14330 Aurora Ave N Apartment or Suite Number City State Zip Seattle Wa 98133 Phone Number Extension (206) 364-1140 State License Number License Expiration Date AURORP*798NZ 8/16/2025 UBI # E-mail Address 57Rn54951 pam@auroraplumbing.com Project Location Number Street 1215 HIGHLAND DR Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00423000001000 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 David L & Pamela J Ttee Martin Number Street 1215 HIGHLAND DR 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: 8/1/2023 Submitted By: Pam Dressel Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1356374 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 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, New water service installed. Master Bath, Garage) Page 2 of 2