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Application_2021-1105CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1003508 Applicant First Name Katheryn Last Name Company Name Myers Dirt Cheap inc. Number Street 2615 Russell Way Apartment or Suite Number E-mail Address 3 katheryn@dirtcheapinc.com City State Everett WA Zip Phone Number Extension 98204 4255129652 Contractor Company Name DIRT CHEAP INC Number Street 2615 Russell Way Apartment or Suite Number 3 City Everett State Zip Phone Number Extension WA 98204 (425) 512-9652 State License Number DIRTCCI836BT License Expiration Date UBI # E-mail Address 1/30/2023 Rn4nR7911 katheryn@dirtcheapinc.com Project Location Number Street 23711 77TH AVE W Floor Number Suite or Room Number City EDMONDS Zip Code County Parcel Number 98026 00559300001700 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Edward & Catherine R Last Name or Company Name Del Prado Number Street 23711 77TH AVE W Apartment or Suite Number City EDMONDS State Zip WA 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: 8/10/2021 Submitted By: Katheryn Myers Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1003508 Project Type Single Family Residential Project Details Piping Water Supply Piping Work Location Activity Type Repair or Replacement Scope of Work Plumbing Work Description/Location (example: 1 st floor, Replacing water line due to leak at from meter to front Master Bath, Garage) of house. All on private property. Will also install a shut-off for future maintenance. Page 2 of 2