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Application_BLD2022-1071CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1186213 Applicant First Name Last Name Company Name Samuel Scilley RESOLUTION PLUMBING Number Street Apartment or Suite Number E-mail Address 6704 49th pl ne samscilley@gmail.com City State Zip Phone Number Extension marysville WA 98270 (425) 320-6975 Contractor Company Name RESOLUTION PLUMBING Number Street Apartment or Suite Number 6704 49TH PL NE City State Zip Phone Number Extension MARYSVILLE WA 98270 (425)320-6975 3606544727 State License Number License Expiration Date UBI # E-mail Address RESOLP*7950C 10/12/2023 FD49114D7 samscilley@gmail.com Project Location Number Street Floor Number Suite or Room Number 7530 BRAEMAR DR City Zip Code County Parcel Number EDMONDS 98026 00513500002200 Associated Building Permit Number Tenant Name BLD2022-0687 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name * DUSTY ROAD 7 LLC Number Street Apartment or Suite Number 7530 BRAEMAR DR 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: 8/10/2022 Submitted By: Samuel Scilley Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1186213 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, Gas piping to gas range. Master Bath, Garage) Page 2 of 2