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BLD2024-1390_Application_10.21.2024_3.05.12_PM_4572346CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1564877 -Waterline Repair Applicant First Name Last Name Company Name Heinz Gassert Number Street Apartment or Suite Number E-mail Address 1947 NW 95th street sissel@netzero.net City State Zip Phone Number Extension Seattle WA 98177 (206) 422-8061 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 8604 207TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00544600004601 Associated Building Permit Number Tenant Name 0 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Heinz Gassert Number Street Apartment or Suite Number 1947 NW 95TH City State Zip SEATTLE WA 98117 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: 10/21/2024 Submitted By: Heinz Gassert Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1564877 -Waterline Repair Project Contact Company Name: Name: Heinz Gassert Email: sissel@netzero.net Address: 1947 NW 95th street Phone #: (206) 422-8061 Seattle WA 98177 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: Waterline Repair Description of Work: Repair leaking waterline between meter and residence Project Details Scope of Work Like for like equipment in the same location Piping Water Line Re -Pipe Water Supply Piping Other Repair leaking outside waterline on my property between meter and residence 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 1 Scope of Work Plumbing 8604 207th Street SW, Edmonds, WA Repair Outside Waterline between Meter and Residence Page 2 of 2