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Application_2021-0720CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #968930 Applicant First Name Last Name Derek Henry Company Name Pinky's Plumbing, LLC Number Street P.O. Box 68133 Apartment or Suite Number E-mail Address customerservice@pinkysplumbing.biz City State Zip Seattle WA 98168 Phone Number Extension 2067071497 Contractor Company Name Pinky's Plumbing LLC Number Street P.O. Box 68133 Apartment or Suite Number City State Zip Seattle WA 98168 Phone Number Extension (206) 707-1497 State License Number License Expiration Date PINKYPL905LS 6/10/2022 UBI # E-mail Address F;miniR755 customerservice@pinkysplumbing.biz Project Location Number Street 8428 216TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00598300000300 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 Nicholas & Bland Lauren Davis Number Street 8428 216TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 5/26/2021 Submitted By: Derek Henry Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #968930 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Other BBQ Work Location Work Description/Location (example: 1st floor, backyard Master Bath, Garage) Page 2 of 2