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Application_1469323CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1469323 Applicant First Name Last Name Tyler Taft Company Name Gene Johnson Plumbing and Heating Number Street 10011 Greenwood Ave N Apartment or Suite Number E-mail Address info@genejohnsonplumbing.com City State Zip Seattle WA 98133 Phone Number Extension (206) 789-6610 Contractor Company Name BELRED HTG COOLG & PLBG LLC Number Street 10733 47TH PLACE W Apartment or Suite Number City State Zip MUKILTEO WA 98275 Phone Number Extension (425) 493-5353 State License Number License Expiration Date GENEJJP7713N 4/1/2025 UBI # E-mail Address FD4s its s info@genejohnsonplumbing.com Project Location Number Street 19808 77TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00564000001200 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 Rebecca J & Randal L White Number Street 19808 77TH PL 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: 4/9/2024 Submitted By: Tyler Taft Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1469323 Project Type Single Family Residential Project Details Piping Piping - Water Service Water Supply Piping Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Scope of Work Plumbing Replace water service from meter into crawl Page 2 of 2