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Application_1428944CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1428944 Applicant First Name Last Name Erich Klemp Company Name Protocol Plumbing & Sewer Number Street 1624 Grove ST Apartment or Suite Number E-mail Address D2 erich@protocolplumbing.com City State Zip Marysville WA 98270 Phone Number Extension (425) 743-4940 Contractor Company Name PROTOCOL PLUMBING & SEWER Number Street 1624 Grove ST Apartment or Suite Number D2 City State Zip Marysville WA 98270 Phone Number Extension (425) 743-4940 State License Number License Expiration Date PROTOPS794PG 10/5/2025 UBI # E-mail Address F;n9F;7nns� erich@protocolplumbing.com Project Location Number Street 731 MAIN ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434208702900 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 Bradley T & Lindal Laura J Bernatek Number Street 731 MAIN ST Apartment or Suite Number City State EDMONDS WA Zip 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: 1/16/2024 Submitted By: Erich Klemp Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1428944 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details Other gas cook top Work Location Work Description/Location (example: 1st floor, Kitchen Master Bath, Garage) Page 2 of 2