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Application_1283326CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1283326 Applicant First Name Last Name Company Name Erich Klemp Protocol Plumbing & Sewer Number Street Apartment or Suite Number E-mail Address 1624 Grove ST D2 erich@protocolplumbing.com City State Zip Phone Number Extension Marysville WA 98270 (425) 743-4940 Contractor Company Name PROTOCOL PLUMBING & SEWER Number Street Apartment or Suite Number 1624 Grove ST D2 City State Zip Phone Number Extension Marysville WA 98270 (425) 743-4940 State License Number License Expiration Date UBI # E-mail Address PROTOPS794PG 10/5/2023 F;n9F;7nns� erich@protocolplumbing.com Project Location Number Street Floor Number Suite or Room Number 610 9TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00738700000400 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 Sean W & Bryn Ed Ttees Chighizola Number Street Apartment or Suite Number 610 9TH AVE 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, 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: 3/15/2023 Submitted By: Erich Klemp Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1283326 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Fixtures Shower, Tub or Combo Toilet Sinks Sink 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) 1 1 2 Basement Bathroom Page 2 of 2