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Application_2021-1339CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1027333 Applicant First Name Last Name Quiana Woods Company Name beacon plumbing & mechanical, Inc. Number Street 8611 S. 192nd St. Apartment or Suite Number E-mail Address quiana@beaconplumbing.net City State Zip kent WA 98031 Phone Number Extension (800)373-2456 Contractor Company Name BEACON PLUMBING & MECHNCAL INC Number Street 8611 S. 192nd Street Apartment or Suite Number City State Zip Kent WA 98031 Phone Number Extension 2067202040 State License Number License Expiration Date BEACOPM956KS 5/24/2023 UBI # E-mail Address FD91959gq quiana@beaconplumbing.net Project Location Number Street 24214 89TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00511700000200 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 Jerald A & Carol L Sanders Number Street 24214 89TH PL W 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: 9/29/2021 Submitted By: Quiana Woods Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1027333 Project Type Single Family Residential Project Details Other Sewer spot repair Work Location Activity Type Repair or Replacement Work Description/Location (example: 1 st floor, Side of the house Master Bath, Garage) Scope of Work Plumbing Page 2 of 2