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Application_990922CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #990922 Applicant First Name Last Name Company Name Alexander Visser Prima Plumbing Number Street Apartment or Suite Number E-mail Address 903 NW 50th St staff@primaplumbingnw.com City State Zip Phone Number Extension Seattle WA 98107 2067060300 Contractor Company Name Prima Plumbing Number Street Apartment or Suite Number 903 NW 50th St City State Zip Phone Number Extension Seattle WA 98107 (206) 706-0300 State License Number License Expiration Date UBI # E-mail Address PRIMAP*004J4 4/18/2023 RDgD9g97R staff@primaplumbingnw.com Project Location Number Street Floor Number Suite or Room Number 22050 99TH PL W City Zip Code County Parcel Number EDMONDS 98020 00602100100700 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 Delores Marvonek Number Street Apartment or Suite Number 5327 101 ST ST SW City State Zip MUKILTEO WA 98275-4307 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: 7/14/2021 Submitted By: Alexander Visser Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #990922 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Other Cooktop and bbq and furnace Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Gas piping only to Kitchen cooktop, Outdoor bbq and Mechanical Room furnace (other contractor to install units and venting). Gas piping to water heater is under plumbing permit (per the Plumbing Permit application). Page 2 of 2