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Application_959460CITY OF EDMONDS M BuildingPermit.com Plumbing Application #959460 Applicant First Name Last Name Roger Diaz Company Name JDA Plumbing LLC Number Street 516 143rd St Apartment or Suite Number E-mail Address diguer38@gmail.com City State Zip Lynnwood WA 98087 Phone Number Extension (425)971-5802 Contractor Company Name JD PLUMBING LLC Number Street 516 143rd St. sw Apartment or Suite Number City State Zip LYNNWOOD WA 98087 Phone Number Extension 4259715802 State License Number License Expiration Date JDAPLPL806MO 7/20/2022 UBI # E-mail Address BD4,19f196� diguer38@gmail.com Project Location Number Street 19107 94TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434600005003 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 Barbara M Steward Number Street 19107 94TH AVE W 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: 5/5/2021 Submitted By: Roger Diaz Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #959460 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Fixtures Clothes Washer 2 Dishwasher 1 Ice Maker 1 Shower, Tub or Combo 4 Toilet 3 Water Heater - Tankless 1 Sinks Sink 6 Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) adding a kitchen sink , dw . bar sink in first floor , relocating fixtures in 3 bathrooms , adding a washer box in second floor and installing a tankless water heater in crawl space. Page 2 of 2