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Application_2021-1072CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1000497 Applicant First Name Last Name South West Plumbing Company Name South West Plumbing Number Street 2401 SW Alaska St Apartment or Suite Number E-mail Address permits@southwestplumbing.biz City State Zip Seattle WA 98106 Phone Number Extension 2069321777 Contractor Company Name SOUTH WEST PLBG & WTRHTRS INC Number Street 2401 SW Alaska Apartment or Suite Number City State Zip Seattle WA 98106 Phone Number Extension (206) 932-1777 State License Number License Expiration Date SOUTHWP8070J 9/11/2022 UBI # E-mail Address FD1 '1'17744 permits@southwestplumbing.biz Project Location Number Street 414 7TH AVE N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434208400100 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 Lyle M & Elizabeth Munday Number Street 414 7TH AVE N 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: 8/3/2021 Submitted By: South West Plumbing Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1000497 Project Type Single Family Residential Project Details Piping Piping - Water Service Water Supply Piping Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Outside in yard. Master Bath, Garage) Scope of Work Plumbing Page 2 of 2