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Application_949555CITY OF EDMONDS M BuildingPermit.com Plumbing Application #949555 Applicant First Name Last Name Per Hillerstrom Company Name After Hours Plumbing Number Street 7455 Ne 156 St Apartment or Suite Number E-mail Address afterhourplumber@gmail.com City State Zip Kenmore WA 98028 Phone Number Extension (510) 779-2837 Contractor Company Name After Hours Plumbing Number Street 7455 Ne 156 St Apartment or Suite Number City State Zip Kenmore WA 98028 Phone Number Extension (510) 779-2837 State License Number License Expiration Date AFTERHP860JB 5/23/2022 UBI # E-mail Address BD:3'1'1:3754 afterhourplumber@gmail.com Project Location Number Street 22423 100TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00450700500014 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 Richard A & Cynthia A Tomkins Number Street 211 5TH AVE N Apartment or Suite Number 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: 4/21/2021 Submitted By: Per Hillerstrom Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #949555 Project Type Single Family Residential Project Details Fixtures Clothes Washer Dishwasher Ice Maker Shower, Tub or Combo Toilet Sinks Sink Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Activity Type Alteration 1 1 1 2 1 2 Scope of Work Plumbing up bath, down bath, utility room, kitchen Page 2 of 2