Application_1013957CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1013957
Applicant
First Name Last Name Company Name
Tyler Taft Gene Johnson Plumbing and Heating
Number Street Apartment or Suite Number E-mail Address
10011 Greenwood Ave N info@genejohnsonplumbing.com
City State Zip Phone Number Extension
Seattle WA 98133 206-789-6610
Contractor
Company Name
GENE JOHNSON PLUMBING & HEATNG
Number Street Apartment or Suite Number
10011 Greenwood Ave N
City State Zip Phone Number Extension
Seattle WA 98133 206-789-6610
State License Number License Expiration Date UBI # E-mail Address
GENEJJP924RT 1/11/2023 BD9B7gDgq info@genejohnsonplumbing.com
Project Location
Number Street Floor Number Suite or Room Number
22425 100TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00450700500013
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
Bahram & Badressadat V Samanian
Number Street Apartment or Suite Number
22425 100TH AVE W
City State Zip
EDMONDS WA 98020-5911
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: 9/1/2021 Submitted By: Tyler Taft
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1013957
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, Waterline replacement from meter to copper stub in
Master Bath, Garage) front of home 1"1/4 pex
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