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BLD2024-0682_Application_5.22.2024_11.24.06_AM_4274546CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1492406 - repipe/ water service Applicant First Name Last Name Company Name South West Plumbing South West Plumbing Number Street Apartment or Suite Number E-mail Address 4150 Lind Ave, SW permits@southwestplumbing.biz City State Zip Phone Number Extension Renton WA 98057 (206) 932-1777 Contractor Company Name SOUTH WEST PLBG & WTRHTRS LLC Number Street Apartment or Suite Number 4150 Lind Ave SW City State Zip Phone Number Extension Renton WA 98057 (206) 932-1777 State License Number License Expiration Date UBI # E-mail Address SOUTHWP798OW 8/31/2025 FD1'1'17744 permits@southwestplumbing.biz Project Location Number Street Floor Number Suite or Room Number 6728 174TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00513100014603 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 Gary Lee Shimek Number Street Apartment or Suite Number 6728 174TH 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: 5/22/2024 Submitted By: South West Plumbing Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1492406 - repipe/ water service Project Contact Company Name: South West Plumbing Name: South West Plumbing Email: permits@southwestplumbing.biz Address: 4150 Lind Ave, SW Phone #: (206) 932-1777 Renton WA 98057 Project Type Single Family Residential Activity Type Repair or Replacement Scope of Work Plumbing Project Name: repipe/ water service Description of PARTIAL RE -PIPE FOR 1.5 BATHROOM, TWO STORY HOME Water SVC 3/4" or 1" Work: hand dig trench up to 40' REMOVE ALL CAST-IRON DRAINS IN CRAWL -SPACE AND ON FIRST FLOOR Project Details Drains Floor Drain Fixtures Clothes Washer Hose Bib Shower, Tub or Combo Toilet Hot Water Heater Sinks Sink Piping Water Line Re -Pipe Piping - Water Service Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is or will be a building permit associated with this work at the project location. 1 1 2 1 1 1 61 Re -pipe of home and 40" water service Page 2 of 2