BLD2023-1631_Application_12.20.2023_3.17.34_PM_3965078CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1419713 - water line leak
Applicant
First Name Last Name Company Name
Ross Carey
Number Street Apartment or Suite Number E-mail Address
1136 9th Avenue South skeptic53@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 714-9186
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
1136 9TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 00568300000300
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
Ross G Carey
Number Street Apartment or Suite Number
1136 9TH AVE S
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. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 12/20/2023 Submitted By: Ross Carey
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1419713 - water line leak
Project Contact
Company Name:
Name: Ross Carey Email: skeptic53@gmail.com
Address: 1136 9th Avenue South Phone #: (206) 714-9186
Edmonds WA 98020
Project Type Activity Type
Single Family Residential Repair or Replacement
Project Name: water line leak
Description of Work: repair water line leak
Project Details
Scope of Work
Like for like equipment in the same location
Piping
Water Line Re -Pipe
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
Scope of Work
Plumbing
Water supply line leak repair
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