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BLD2025-0080_Application_1.18.2025_2.51.52_PM_4718500CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1602970 - rpca Applicant First Name Last Name Company Name Dennis Wheeler RPCA Number Street Apartment or Suite Number E-mail Address 21307 76th Ave West 11 bags@usa.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 601-1170 Contractor Company Name Mill Creek Plumbing Number Street Apartment or Suite Number 914 164th St SE #286 City State Zip Phone Number Extension Mill Creek WA 98012 (206) 641-6349 State License Number License Expiration Date UBI # E-mail Address MILLCCP799M9 3/29/2026 F;n9n'i5F;91 fredh@millcreekplumbling.com Project Location Number Street Floor Number Suite or Room Number 21307 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00861530701100 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 Dennis L Wheeler Number Street Apartment or Suite Number 21307 76TH AVE W 11 City State Zip EDMONDS WA 98026-7515 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: 1/18/2025 Submitted By: Dennis Wheeler Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1602970 - rpca Project Contact Company Name: RPCA Name: Dennis Wheeler Email: bags@usa.com Address: 21307 76th Ave West 11 Phone #: (206) 601-1170 Edmonds WA 98026 Project Type Activity Type Scope of Work Multifamily Residential Repair or Replacement Plumbing Project Name: rpca Description of Work: repair water pipe between water meter and buidling located in flower bed Project Details Scope of Work Like for like equipment in the same location Associated Building Permit? There is no other onsite work that requires a building permit. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Work to be performed by a licensed contractor Yes 1 TO REPAIR LEAK IN WATER LINE BETWEEN METER AND BUILDING LOCATED IN FLOWER BED Page 2 of 2