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BLD2022-0160_Application_2.7.2022_2.02.31_PM_2666331CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1088815 - WSL Applicant First Name Last Name Company Name KATHERYN MYERS DIRT CHEAP INC Number Street Apartment or Suite Number E-mail Address 2615 RUSSELL WAY KATHERYN@DIRTCHEAPINC.COM City State Zip Phone Number Extension EVERETT WA 98204 425-512-9652 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 1235 CORONADO PL S City Zip Code County Parcel Number EDMONDS 98020 00515200001200 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 Michael D Hanshew Number Street Apartment or Suite Number 1235 CORONADO PL S City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 2/7/2022 Submitted By: KATHERYN MYERS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1088815 - WSL Project Contact Company Name: DIRT CHEAP INC Name: KATHERYN MYERS Email: KATHERYN@DIRTCHEAPINC.COM Address: 2615 RUSSELL WAY Phone #: 425-512-9652 EVERETT WA 98204 Project Type Single Family Residential Activity Type Repair or Replacement Project Name: WSL Description of Work: Emergency Repair from Meter to House Project Details Piping Piping - Water Service Systems Grey Water System Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Scope of Work Plumbing From meter to house emergency repair Page 2 of 2