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Application_1497163CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1497163 Applicant First Name Last Name Brian Setzer Company Name Setzer Plumbing Number Street 15617 Westwick Rd Apartment or Suite Number E-mail Address office@setzerplumbing.com City State Zip Snohomish WA 98290 Phone Number Extension (360) 568-9784 Contractor Company Name SETZER PLUMBING Number Street 15617 WESTWICK RD Apartment or Suite Number City State Zip SNOHOMISH WA 98290 Phone Number Extension (360) 568-9784 State License Number License Expiration Date SETZEP*790NU 4/4/2026 UBI # E-mail Address RD4gDgDSD office@setzerplumbing.com Project Location Number Street 15725 75TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00513300002701 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 Sharon E & Carl M Larsen Number Street 7329 158TH ST SW 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: 5/31/2024 Submitted By: Brian Setzer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1497163 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Clothes Washer Dishwasher Hose Bib Shower, Tub or Combo Toilet Hot Water Heater Sinks Sink Piping Piping - Water Service Work Location 1 1 2 1 1 1 2 Scope of Work Plumbing Work Description/Location (example: 1 st floor, Main Floor Kitchen and Bathroom, Basement Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Page 2 of 2