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Application_1505102CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1505102 Applicant First Name Last Name Company Name BRIAN Martin Advanced Sewer Solutions Inc Number Street Apartment or Suite Number E-mail Address 21314 164th Ave E assi402O@gmail.com City State Zip Phone Number Extension Graham WA 98338 (217) 251-7411 Contractor Company Name Advanced Sewer Solutions Inc Number Street Apartment or Suite Number 21314 164th Ave E City State Zip Phone Number Extension GRAHAM WA 98338 (217) 251-7411 State License Number License Expiration Date UBI # E-mail Address ADVANSS786BJ 1 /6/2026 Bni.c;1 79.17 assi402O@gmail.com Project Location Number Street Floor Number Suite or Room Number 17007 73RD PL W City Zip Code County Parcel Number EDMONDS 98026 00741500001700 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 Wayne A & Korryn M Lennstrom Number Street Apartment or Suite Number 17007 73RD PL 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: 6/17/2024 Submitted By: BRIAN Martin Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1505102 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 Ice Maker Shower, Tub or Combo Toilet Sinks Sink Other Main Shut Off 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 1 2 1 1 1 3 1 Scope of Work Plumbing Repairs due to insurance water loss. Page 2 of 2