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Application_2021-0718CITY OF EDMONDS M BuildingPermit.com Plumbing Application #968625 Applicant First Name Last Name Cesar Lara Company Name COMPLETE TRENCHLESS INC Number Street 5608 17th ave nw Apartment or Suite Number E-mail Address Cesar@completetrenchless.com City State Zip Seattle WA 98107 Phone Number Extension 2066592315 Contractor Company Name COMPLETE TRENCHLESS INC Number Street 5608 17TH AVE NW Apartment or Suite Number City State Zip SEATTLE WA 98107 Phone Number Extension (206)659-2315 State License Number License Expiration Date COMPLT1801138 1/28/2022 UBI # E-mail Address RD45Riiii Cesar@completetrenchless.com Project Location Number Street 426 2ND AVE N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00592200001100 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 Catherine M & Izaj Mary E Rigley Number Street 19827 10TH AVE NW Apartment or Suite Number City State SHORELINE WA Zip 98177 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: 5/25/2021 Submitted By: Cesar Lara Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #968625 Project Type Single Family Residential Project Details Piping Piping - Water Service Water Supply Piping Work Location Activity Type Repair or Replacement Scope of Work Plumbing Work Description/Location (example: 1 st floor, From water meter to the house install new water main Master Bath, Garage) line Page 2 of 2