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Application_1443720CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1443720 Applicant First Name Last Name Company Name Rhebe Greenwald Number Street Apartment or Suite Number E-mail Address 23115 94th Ave. W. info@akerswater.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 439-9251 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 23115 94TH AVE W City Zip Code County Parcel Number EDMONDS 98020 27033600105700 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 Rhebe Ttee Greenwald Number Street Apartment or Suite Number 23115 94TH AVE W City State Zip EDMONDS WA 98020-5074 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: 2/15/2024 Submitted By: Rhebe Greenwald Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1443720 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Plumbing Project Details Piping Water Supply Piping 1 Work Location Work Description/Location (example: 1 st floor, Replace waterline from meter to house Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Page 2 of 2