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Application_1477733CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1477733 Applicant First Name Last Name Company Name LOREN K Number Street Apartment or Suite Number E-mail Address 20413 80TH AVE W devserv.admin@edmondswa.gov City State Zip Phone Number Extension Edmonds WA 98020 (425) 248-5879 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 20413 80TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00634600000700 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 Loren D Krusenstjerna Number Street Apartment or Suite Number 20413 80TH AVE W 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, 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: 4/23/2024 Submitted By: LOREN K Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1477733 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. Scope of Work Plumbing REPLACED WATER LINE WATER METER TO INSIDE OF GARAGE. Page 2 of 2