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Application_1414737CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1414737 Applicant First Name Last Name Company Name Cemone Cox Southwest Plumbing Number Street Apartment or Suite Number E-mail Address 4150 Lind Ave sw permits@southwestplumbing.biz City State Zip Phone Number Extension Renton WA 98057 (206) 932-1777 Contractor Company Name South West Plmbg & Water Htrs Number Street Apartment or Suite Number 4150 Lind Ave Sw City State Zip Phone Number Extension Renton WA 98057 (206) 932-1777 State License Number License Expiration Date UBI # E-mail Address SOUTHWP798OW 8/31/2025 Fn1'1'17744 permits@southwestplumbing.biz Project Location Number Street Floor Number Suite or Room Number 20223 83RD AVE W City Zip Code County Parcel Number EDMONDS 98026 00634500000900 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 Kenneth J Jr & Carolyn S Mccauley Number Street Apartment or Suite Number 20223 83RD AVE W City State Zip EDMONDS WA 98026-6730 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: 12/8/2023 Submitted By: Cemone Cox Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1414737 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, Leak on water service, repair water service Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Page 2 of 2