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Application_1050730CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1050730 Applicant First Name Last Name Company Name Sam Briesemeister Number Street Apartment or Suite Number E-mail Address 18917 86th PI W sam.briesemeister@gmail.com City State Zip Phone Number Extension Edmonds WA 98026 5098330329 Contractor Company Name DONE RIGHT PLMBG & SWR RPR LLC Number Street Apartment or Suite Number 331 204th st SW City State Zip Phone Number Extension Lynnwood WA 98036 (206) 375-8213 (425) 245-7552 State License Number License Expiration Date UBI # E-mail Address DONERRP79807 10/11/2023 BD:31 95B44 Doneright001 @gmail.com Project Location Number Street Floor Number Suite or Room Number 18917 86TH PL W City Zip Code County Parcel Number EDMONDS 98026 00645600000800 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 Samuel & Larissa Briesemeister Number Street Apartment or Suite Number 18917 86TH PL W City State Zip EDMONDS 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: 11/17/2021 Submitted By: Sam Briesemeister Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1050730 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Piping Piping - Water Service Water Supply Piping Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Scope of Work Plumbing Work Description/Location (example: 1 st floor, Water service main from curb meter to house, entering Master Bath, Garage) near western side of garage. Page 2 of 2