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Application_1051415CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1051415 Applicant First Name Last Name Tyler taft Company Name Gene Johnson Plumbing and Heating Number Street 10011 Greenwood Ave N Apartment or Suite Number E-mail Address info@genejohnsonplumbing.com City State Zip Seattle WA 98133 Phone Number Extension 206-789-6610 Contractor Company Name GENE JOHNSON PLUMBING & HEATNG Number Street 10011 Greenwood Ave N Apartment or Suite Number City State Zip Seattle WA 98133 Phone Number Extension 206-789-6610 State License Number License Expiration Date GENEJJP79803 10/1/2023 UBI # E-mail Address BD9B7gDgq info@genejohnsonplumbing.com Project Location Number Street 7621 234TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00576700001701 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 Laura & Mark Myers Number Street PO BOX 854 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: 11/17/2021 Submitted By: Tyler taft Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1051415 Project Type Single Family Residential Project Details Piping Piping - Water Service Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Plumbing Work Description/Location (example: 1 st floor, replace water service, from meter to home, hand dig 1 Master Bath, Garage) inch pex Page 2 of 2