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BLD2024-0527_Application_4.19.2024_4.26.32_PM_4208715CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1476460 - Jerome Moore Project Applicant First Name Last Name Company Name Genisis Lopez Eco Electric Number Street Apartment or Suite Number E-mail Address PO Box genisis@ecoserviceswa.com City State Zip Phone Number Extension Mercer Island Wa 98040 (206) 670-6943 Contractor Company Name Eco Electric Number Street Apartment or Suite Number PO Box 468 City State Zip Phone Number Extension Mercer Island WA 98040 (206) 232-0838 State License Number License Expiration Date UBI # E-mail Address ECOELEP768BT 1/30/2026 BD.1_c,6g74D cory@ecoelectricwa.com Project Location Number Street Floor Number Suite or Room Number 8302 188TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00481600300100 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 Jerome & Dannette Moore Number Street Apartment or Suite Number 8302 188TH ST SW 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: 4/19/2024 Submitted By: Genisis Lopez Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1476460 - Jerome Moore Project Project Contact Company Name: Eco Electric Name: Genisis Lopez Email: genisis@ecoserviceswa.com Address: PO Box Phone #: (206) 670-6943 Mercer Island Washington 98040 Project Type Single Family Residential Activity Type Alteration Project Name: Jerome Moore Project Description of Work: Will be installing a backflow valve for irrigation system. Project Details Piping Back Flow Preventer Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. 1 Scope of Work Plumbing Will be installing a backflow valve for an irrigation system. Page 2 of 2