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Application_1432572CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1432572 Applicant First Name Last Name South West Plumbing Company Name South West Plumbing Number Street 4150 Lind Ave, SW Apartment or Suite Number E-mail Address permits@southwestplumbing.biz City State Zip Renton WA 98057 Phone Number Extension (206) 932-1777 Contractor Company Name South West Plmbg & Water Htrs Number Street 4150 Lind Ave SW Apartment or Suite Number City State Zip renton WA 98057 Phone Number Extension (206) 932-1777 State License Number License Expiration Date SOUTHWP798OW 8/31/2025 UBI # E-mail Address FD1'1'17744 permits@southwestplumbing.biz Project Location Number Street 19421 86TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27041800307600 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 Michael J & Nancy L Schultz Number Street 19421 86TH AVE W 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: 1/23/2024 Submitted By: South West Plumbing Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1432572 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Piping Piping - Water Service Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. water service repair Scope of Work Plumbing Page 2 of 2