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Application_1361719CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1361719 Applicant First Name Last Name Beniamin Aitonean Company Name CREATIVE PLUMBING SOLUTIONS Number Street 16995 Wales Street Se Apartment or Suite Number E-mail Address creativeplumbingsol@gmail.com City State Zip Monroe WA 98272 Phone Number Extension (425) 306-3828 Contractor Company Name CREATIVE PLUMBING SOLUTIONS Number Street 16995 WALES ST SE Apartment or Suite Number City State Zip MONROE WA 98272 Phone Number Extension (425) 306-3828 (425) 395-6401 State License Number License Expiration Date CREATPS79602 10/5/2023 UBI # E-mail Address BD4_c,D4Dg9 creativeplumbingsol@gmail.com Project Location Number Street 223 DAYTON ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00924700001000 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 Wade G Smith Number Street 223 DAYTON ST Apartment or Suite Number 10 City State EDMONDS WA Zip 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: 8/14/2023 Submitted By: Beniamin Aitonean Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1361719 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Shower, Tub or Combo Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, 1 st floor Master Bath, Garage) Scope of Work Plumbing Page 2 of 2