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Application_1428961CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1428961 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 18921 94TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434600004702 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 Lance & Rachel Dobbins Number Street 18921 94TH AVE W 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 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1428961 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Clothes Washer 1 Toilet 1 Sinks Sink 2 Work Location Work Description/Location (example: 1st floor, Laundry room Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Scope of Work Plumbing Page 2 of 2