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Application_1552565CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1552565 Applicant First Name Last Name Mary Ellin Block Company Name Eagle Pipe Mechanical Number Street 5634 ne minder rd Apartment or Suite Number E-mail Address c-102 shelby@eaglepipemechanical.com City State Zip poulsbo Wa 98370 Phone Number Extension (425) 923-5307 Contractor Company Name Eagle Pipe & Mechanical LLC Number Street 5634 ne Seven Sisters Rd Apartment or Suite Number City State Zip poulsbo WA 98370 Phone Number Extension (425) 923-5307 State License Number License Expiration Date EAGLEPM770N5 8/30/2025 UBI # E-mail Address F;nigg61 qq shelby@eaglepipemechanical.com Project Location Number Street 20209 87TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00572400000100 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 Mary Ellin Block Number Street 20209 87TH W 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: 9/24/2024 Submitted By: Mary Ellin Block Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1552565 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Water Heater - Gas Mechanical 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 replace the water tank located in the garage Page 2 of 2