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BLD2024-1354_Application_10.14.2024_3.17.38_PM_4558768CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1561523 - Conroy water service line Applicant First Name Last Name Company Name William Conroy Number Street Apartment or Suite Number E-mail Address 542 Holly Drive wconroy_@msn.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 949-1045 Contractor Company Name PUGET SOUND PLUMBING & HTG INC Number Street Apartment or Suite Number 11803 Des Moines Memorial DR City State Zip Phone Number Extension Seattle WA 98168 (206) 938-3219 State License Number License Expiration Date UBI # E-mail Address PUGETSP929CF 2/25/2026 Fi(».i1f1(»Fi wconroy_@msn.com Project Location Number Street Floor Number Suite or Room Number 542 HOLLY DR City Zip Code County Parcel Number EDMONDS 98020 27032500208500 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 William M lii & Slavin Lauren A Conroy Number Street Apartment or Suite Number 542 HOLLY DR City State Zip EDMONDS WA 98020 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: 10/14/2024 Submitted By: William Conroy Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1561523 - Conroy water service line Project Contact Company Name: Name: Address: William Conroy 542 Holly Drive Edmonds WA 98020 Project Type Single Family Residential Email: wconroy_@msn.com Phone #: (206) 949-1045 Activity Type Repair or Replacement Project Name: Conroy water service line Description of Work: new water line Project Details Scope of Work Like for like equipment in the same location Piping Water Line Re -Pipe 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 New water service line from street to house Page 2 of 2