Application_1437638CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1437638
Applicant
First Name Last Name Company Name
Scott johnston
Number Street Apartment or Suite Number E-mail Address
19403 80 Ave west s.johnston2789@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 773-2941
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
19403 80TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00390600000100
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
Vicki Jean Cook
Number Street Apartment or Suite Number
19403 80TH AVE W
City State Zip
EDMONDS WA 98026-6212
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: 2/4/2024 Submitted By: scott johnston
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1437638
Project Type
Single Family Residential
Project Details
Other
Water line repair
Work Location
Activity Type Scope of Work
Alteration Mechanical
Work Description/Location (example: 1 st floor, Repairing leak on existing underground water supply
Master Bath, Garage) from meter to house.
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