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Application_1167071CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1167071 Applicant First Name Last Name DRF Permit Department Company Name Big Bear Plumbing Number Street 20 Riverview Apartment or Suite Number E-mail Address permits@drftps.com City State Zip Auburn WA 98002 Phone Number Extension (630) 615-4580 Contractor Company Name BIG BEARS PLUMBING/ROOTER LLC Number Street 20 RIVERVIEW DR SE Apartment or Suite Number City State Zip AUBURN WA 98002 Phone Number Extension 630-615-4580 State License Number License Expiration Date BIGBEBP79804 4/4/2024 UBI # E-mail Address FD949flDq� permits@drftps.com Project Location Number Street 500 ELM WAY Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00836300003800 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 Joan W Lewis Number Street 500 ELM WAY Apartment or Suite Number 38 City State EDMONDS WA Zip 98020-4630 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: 6/30/2022 Submitted By: DRF Permit Department Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1167071 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Hot Water Heater 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) 3rd Floor Condo Scope of Work Plumbing Page 2 of 2