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BLD2024-1682_Application_12.30.2024_11.07.14_AM_4689964CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1595228 - WATER SERVICE LINE REPLACEMENT 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. 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: 12/30/2024 Submitted By: Nicole Marinez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1595228 - WATER SERVICE LINE REPLACEMENT Project Contact Company Name: Mike's Plumbing & Drain Cleaning Name: Nicole Marinez Email: info@mikesplumbinganddrain.com Address: 21010 70th Ave W Phone #: (425) 775-0201 Edmonds WA 98026-7202 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Plumbing Project Name: WATER SERVICE LINE REPLACEMENT Description of Work: Install up to 45ft of PEX from meter to the house. Project Details 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. Install up to 45ft of PEX from meter to the house. Page 2 of 2