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Application_1428718CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1428718 Applicant First Name Last Name Joshua Prochnow Company Name KING PLUMBING LLC Number Street 120 161 st St SE Apartment or Suite Number E-mail Address info@kingplumbing.co City State Zip Bothell WA 98012 Phone Number Extension (262) 355-5334 Contractor Company Name KING PLUMBING LLC Number Street 120 161st St SE Apartment or Suite Number City State Zip Bothell WA 98012 Phone Number Extension (425) 365-1673 State License Number License Expiration Date KINGPPL799RM 12/6/2025 UBI # E-mail Address FD4ggg41 B INFO@KINGPLUMBING.CO Project Location Number Street 7624 234TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00576700003106 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 Ana Avelino Jr & Santa Ana Mark B Santa Number Street 7624 234TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 1/16/2024 Submitted By: Joshua Prochnow Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1428718 Project Type Single Family Residential Project Details Piping Piping - Water Service Work Location Activity Type Repair or Replacement 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 service repair just outside meter box on homeowner's side Page 2 of 2