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Application_2021-0613CITY OF EDMONDS M BuildingPermit.com Plumbing Application #956389 Applicant First Name Last Name Paul Hofer Company Name Number Street 8938 179th PI SW Apartment or Suite Number E-mail Address phofer74@gmail.com City State Zip Edmonds WA 98026 Phone Number Extension 4255030375 Contractor Company Name PROTOCOL PLUMBING & SEWER Number Street 1624 Grove Street Apartment or Suite Number Suite D-2 City State Zip Marysville WA 98270 Phone Number Extension (425) 743-4940 State License Number License Expiration Date PROTOPS945QO 11/22/2022 UBI # E-mail Address F;n9F;7nns� service@protocolplumbing.com Project Location Number Street 8938 179TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00459000000700 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 Paul J Hofer Number Street 8938 179TH PL SW Apartment or Suite Number City State EDMONDS WA Zip 98020 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: 4/29/2021 Submitted By: Paul Hofer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #956389 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Drains Floor Drain 1 Sinks Sink 1 Piping Piping - Water Service Work Location Work Description/Location (example: 1st floor, Kitchen Master Bath, Garage) Page 2 of 2