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Application_1412557CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1412557 Applicant First Name Last Name Company Name Paul Kenny Number Street Apartment or Suite Number E-mail Address 815 Driftwood Lane INFO@AKERSWATER.COM City State Zip Phone Number Extension Edmonds WA 98020 (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 815 DRIFTWOOD LN City Zip Code County Parcel Number EDMONDS 98020 27031300301700 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 Paul & Wever Nancy Ttee Kenny Number Street Apartment or Suite Number 815 DRIFTWOOD LANE 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: 12/4/2023 Submitted By: Paul Kenny Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1412557 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Plumbing Project Details Piping Piping - Water Service Work Location Work Description/Location (example: 1 st floor, Replace waterline from meter to house Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Page 2 of 2