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Application_1519004CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1519004 Applicant First Name Alexander Last Name Company Name Visser Prima Plumbing Number Street 903 NW 50th St Apartment or Suite Number E-mail Address staff@primaplumbingnw.com City State Seattle WA Zip Phone Number Extension 98107 (206) 706-0300 Contractor Company Name Prima Plumbing Number Street 903 NW 50th St Apartment or Suite Number City Seattle State Zip Phone Number Extension WA 98107 (206) 706-0300 State License Number PRIMAP*7950B License Expiration Date UBI # E-mail Address 1/5/2026 RDgD9g97R staff@primaplumbingnw.com Project Location Number Street 23105 99TH AVE W Floor Number Suite or Room Number City EDMONDS Zip Code County Parcel Number 98020 00391400001800 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Jesse J & Vanni Olivia G Last Name or Company Name Flickinger Number Street 242 ELM ST Apartment or Suite Number City EVERETT State Zip WA 98203 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: 7/17/2024 Submitted By: Alexander Visser Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1519004 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Dishwasher Hose Bib Shower, Tub or Combo Water Heater - Tankless Sinks Sink 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 2 1 1 2 Scope of Work Plumbing Upper Level Bathroom, Kitchen, Laundry Room, and Crawlspace Page 2 of 2