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Application_2021-0447CITY OF EDMONDS M BuildingPermit.com Plumbing Application #941936 Applicant First Name Last Name Company Name John Gowan Number Street Apartment or Suite Number E-mail Address 22024 99th PI W jjgowan2@yahoo.com City State Zip Phone Number Extension Edmonds WA 98020 4255029119 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 22024 99TH PL W City Zip Code County Parcel Number EDMONDS 98020 00602100100300 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 John J Gowan Number Street Apartment or Suite Number 1519 184th Ave NE City State Zip Bellevue WA 98008 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 3/30/2021 Submitted By: John Gowan Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #941936 Project Type Single Family Residential Project Details Fixtures Hot Water Heater Piping Water Supply Piping Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Garage, Kitchen Master Bath, Garage) Scope of Work Plumbing Page 2 of 2