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Application_1415809CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1415809 Applicant First Name Last Name Vicki Leatherman Company Name SeaTown Electric Plumbing Heating and Air Number Street 4200 78th St SW Apartment or Suite Number E-mail Address PERMITS@seatownservices.com City State Zip Mukilteo WA 98275 Phone Number Extension (425) 270-1627 Contractor Company Name SEATOWN ELECTRIC HEATING & AIR Number Street 4200 78th ST SW Apartment or Suite Number City State Zip Mukilteo WA 98275 Phone Number Extension (425) 270-1627 State License Number License Expiration Date SEATOEH791 MR 7/12/2025 UBI # E-mail Address FD:3447F;94 permits@seatownservices.com Project Location Number Street 24021 79TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00511600001000 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 Timothy Koh Number Street 24021 79TH PL W Apartment or Suite Number City State EDMONDS WA Zip 98021 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: 12/12/2023 Submitted By: Vicki Leatherman Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1415809 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Fixtures Ice Maker 1 Sinks Sink 1 Work Location Work Description/Location (example: 1st floor, Kitchen Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Scope of Work Plumbing Page 2 of 2