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Application_968009CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #968009 Applicant First Name Last Name Jeff Sorensen Company Name J & S Plumbing & Mechanical Number Street 1127 74th St SE unit A Apartment or Suite Number E-mail Address JSPLUMBING14@aol.com City State Zip Everett WA 98203 Phone Number Extension 4252992569 Contractor Company Name J&S PLUMBING & MECHANICAL INC Number Street 1127 74th ST SE Apartment or Suite Number Apt A City State Zip EVERETT WA 98203 Phone Number Extension (425) 299-2569 State License Number License Expiration Date JSPLUPM820LE 6/22/2022 UBI # E-mail Address FD498il74 JSPLUMBING14@aol.com Project Location Number Street 726 VISTA PL Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00731400000500 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 Rodney & Cheryl L Tong Number Street 726 VISTA PL 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: 5/24/2021 Submitted By: Jeff Sorensen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #968009 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech 1 Work Location Work Description/Location (example: 1st floor, Gas line to BBQ on side deck. Master Bath, Garage) Page 2 of 2