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Application_1503816CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1503816 Applicant First Name Last Name Elizabeth Smith Company Name Number Street 18007 Vista Del Mar Drive Apartment or Suite Number E-mail Address ecsmith3@mac.com City State Zip Edmonds WA 98026 Phone Number Extension (206) 719-4366 Contractor Company Name Mill Creek Plumbing Number Street 914 164th St SE #286 Apartment or Suite Number City State Zip Mill Creek WA 98012 Phone Number Extension (425) 670-8818 State License Number License Expiration Date MILLCCP799M9 3/29/2026 UBI # E-mail Address FD9D'i5F;91 ecsmith3@mac.com Project Location Number Street 18007 VISTA DEL MAR DR Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00914200001200 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 Elizabeth C Smith Number Street 18007 VISTA DEL MAR 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: 6/13/2024 Submitted By: Elizabeth Smith Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1503816 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 Exterior of house, south side where water main connects to house. Page 2 of 2