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BLD2024-1378_Application_10.17.2024_11.47.05_AM_4565999CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1563152 - 8110 214th PI SW Applicant First Name Last Name Company Name Jon Lohman HOMESERVICE PLUMBERS LLC Number Street Apartment or Suite Number E-mail Address 5608 17th Ave NW 1660 excavations@homeserviceplumbers.com City State Zip Phone Number Extension Seattle WA 98107 (206) 310-9830 Contractor Company Name HOMESERVICE PLUMBERS LLC Number Street Apartment or Suite Number 5608 17TH AVE NW Ste 1660 City State Zip Phone Number Extension SEATTLE WA 98107 (206) 310-9830 State License Number License Expiration Date UBI # E-mail Address HOMESPL773KW 5/16/2025 BD51 A:35:35 excavations@homeserviceplumbers.com Project Location Number Street Floor Number Suite or Room Number 8110 214TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00642500000500 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 Jeanette Elizabeth Number Street Apartment or Suite Number 8110 214TH PL SW 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: 10/17/2024 Submitted By: Jon Lohman Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1563152 - 8110 214th PI SW Project Contact Company HOMESERVICE Name: PLUMBERS LLC Name: Jon Lohman Email: excavations@homeservicepiumbers.com Address: 5608 17th Ave NW 1660 Phone #: (206) 310-9830 Seattle WA 98107 Project Type Single Family Residential Activity Type Repair or Replacement Project Name: 8110 214th PI SW Description of Work: Spot repair 6' long and 2' deep Project Details 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 Spot repair 6' long and 2' deep Page 2 of 2