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Application_2022-0552CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1126107 Applicant First Name Last Name Company Name James Ward Number Street Apartment or Suite Number E-mail Address 9826 227th PI SW jward2052@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 2162332400 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 9826 227TH PL W City Zip Code County Parcel Number EDMONDS 98026 00536600000800 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 James R & Grace D Ward Number Street Apartment or Suite Number 9826 227TH 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: 5/2/2022 Submitted By: James Ward Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1126107 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Plumbing Project Details Scope of Work Like for like equipment in the same location Piping Water Supply Piping 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work includes replacing leaking existing water supply pipe between the meter near the street and where it Work Description/Location (example: 1 st floor, connects to our house in the crawl space. Directionally Master Bath, Garage) drilled, with new 2 inch sleeve pulled through with 1 inch pex pipe inside. Connections will not be backfilled until inspection occurs. Page 2 of 2