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BLD2024-1103_Application_8.25.2024_8.46.31_AM_4460983CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1537676 - ADU Water Line Applicant First Name Last Name Company Name Peter Lorring Number Street Apartment or Suite Number E-mail Address 9120 Main pe.lorring@gmail.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 225-8906 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 9120 MAIN ST City Zip Code County Parcel Number EDMONDS 98026 00702800000300 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 Peter E & Lauren J Lorring Number Street Apartment or Suite Number 9120 MAIN ST 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: 8/25/2024 Submitted By: Peter Lorring Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1537676 - ADU Water Line Project Contact Company Name: Name: Address: Peter Lorring 9120 Main Edmonds WA 98026 Email: pe.lorring@gmail.com Phone #: (206) 225-8906 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Name: ADU Water Line Description of Work: Replace/relocate failed branch water line from main line to ADU Project Details Scope of Work Plumbing Fixtures for Building Permit Piping Piping - Water Service Water Supply Piping 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 front yard Page 2 of 2