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Application_1559176CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1559176 Applicant First Name Last Name Company Name Nicole Marinez Mike's Plumbing & Drain Cleaning Number Street Apartment or Suite Number E-mail Address 21010 70th Ave W info@mikesplumbinganddrain.com City State Zip Phone Number Extension Edmonds WA 98026-7202 (425) 775-0201 Contractor Company Name MIKES PLUMBING/DRAIN CLEANING Number Street Apartment or Suite Number 21010 70th Ave W City State Zip Phone Number Extension Edmonds WA 98026-7202 (425) 775-0201 State License Number License Expiration Date UBI # E-mail Address MIKESPD795MO 12/1/2025 BD9114ins info@mikespiumbinganddrain.com Project Location Number Street Floor Number Suite or Room Number 19807 77TH PL W City Zip Code County Parcel Number EDMONDS 98026 00564000001300 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 J Goetz Number Street Apartment or Suite Number 19807 77TH PL W City State Zip EDMONDS WA 98026-6502 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: 10/9/2024 Submitted By: Nicole Marinez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1559176 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 Install up to 3ft of PEX to repair leaking main water line. Page 2 of 2