BLD2024-0409_Application_3.26.2024_9.06.30_AM_4156776CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1463676 - Water line leak
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
Scott Cook
Number Street Apartment or Suite Number
19403 80th Avenue West
City State Zip
Edmonds WA 98026
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 3/26/2024 Submitted By: scott johnston
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1463676 - Water line leak
Project Contact
Company Name:
Name:
Address:
scott johnston
19403 80 Ave west
Edmonds WA 98026
Email: s.johnston2789@gmail.com
Phone #: (425) 773-2941
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Name: Water line leak
Description of Work: Repairing leak in existing underground main waterline to house
Project Details
Piping
Water Line Re -Pipe
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
Repairing leak in existing underground water line
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