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Application_1382484CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1382484 Applicant First Name Last Name Company Name naomi daniels rescue rooter Number Street Apartment or Suite Number E-mail Address 175 Roy rd sw nitucker@ars.com City State Zip Phone Number Extension pacific WA 98372 (253) 872-6944 Contractor Company Name RESCUE ROOTER Number Street Apartment or Suite Number 965 Ridge Lake Blvd Suite 201 City State Zip Phone Number Extension Memphis TN 38120 (253) 872-5330 (253) 872-4902 State License Number License Expiration Date UBI # E-mail Address RESCUR*783BO 2/2/2024 RD1 R.17g4q nitucker@ars.com Project Location Number Street Floor Number Suite or Room Number 19219 88TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27041800308300 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 Eric Andersen Number Street Apartment or Suite Number 19219 88TH AVE W City State Zip EDMONDS WA 98026-6112 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: 9/28/2023 Submitted By: naomi daniels Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1382484 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, 1st floor Master Bath, Garage) Scope of Work Plumbing Page 2 of 2