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BLD2021-1109_Application_8.10.2021_12.33.36_PM_2348724CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1003819 - Sink Applicant First Name Last Name Company Name Jeff Barnett Salish Sea Brewing Co. Number Street Apartment or Suite Number E-mail Address 180 WEST DAYTON SUITE 102 jell@salishbrewing.com City State Zip Phone Number Extension EDMONDS WA 98020 2062953116 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 180 W DAYTON ST 1 102 City Zip Code County Parcel Number EDMONDS 98020 27032300401200 Associated Building Permit Number Tenant Name Salish Sea Brewing Co Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name PORT OF EDMONDS Number Street Apartment or Suite Number 336 ADM I RAIL WAY City State Zip EDMONDS WA 98020-7214 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 8/10/2021 Submitted By: Jeff Barnett Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1003819 - Sink Project Contact Company Name: Salish Sea Brewing Co. Name: Jeff Barnett Email: jeff@salishbrewing.com Address: 180 WEST DAYTON SUITE 102 Phone #: 2062953116 EDMONDS WA 98020 Project Type Nonresidential Activity Type Alteration Project Name: Sink Description of Work: New Preparation Sink Project Details Scope of Work Like for like equipment in the same location Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is no other onsite work that requires a building permit. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Scope of Work Plumbing 1 New preparation sink Page 2 of 2