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BLD2025-0244_Application_2.18.2025_1.55.10_PM_4767459CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1615543 - WATER SERVICE LINE SPOT REPAIR 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 17924 75TH PL W City Zip Code County Parcel Number EDMONDS 98026 00473700003100 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 Douglas Hamilton & Gayle Ann Graybeal Number Street Apartment or Suite Number 17924 75TH PL W 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: 2/18/2025 Submitted By: Nicole Marinez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1615543 - WATER SERVICE LINE SPOT REPAIR 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 SPOT REPAIR Description of Work: Install up to 3ft of 1 in PEX to repair leaking water line. 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 3ft of 1 in PEX to repair leaking water line. Page 2 of 2