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BLD2021-0847+Application+6.17.2021_9.32.42_AM+2255299CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #977116 - Scott Babin DDS and Associates Applicant First Name Last Name Company Name Christopher Forry Bulldoq Plumbinq and Desiqn LLC Number Street Apartment or Suite Number E-mail Address 121 23rd. St. SE chris@bulldogplumbinq.com City State Zip Phone Number Extension Puyallup WA 98498 (253)922-1100 Contractor Company Name BULLDOG PLUMBING & DESIGN LLC Number Street Apartment or Suite Number 121 23rd. St. SE City State Zip Phone Number Extension Puyallup WA 98498 2539221100 State License Number License Expiration Date UBI # E-mail Address BULLDPD931CZ 2/11/2023 602686885 chris@bulldogplumbinq.com Project Location Number Street Floor Number Suite or Room Number 7631 212TH ST SW 1 109C City Zip Code County Parcel Number EDMONDS 98026 00614300001701 Associated Building Permit Number Tenant Name BLD2021-0647. Babin Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name OASIS INC Number Street Apartment or Suite Number 15516 129TH AVE NE City State Zip WOODINVILLE WA 98072 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: 6/17/2021 Submitted By: Christopher Forry Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Plumbing Application #977116 - Scott Babin DDS and Associates Project Contact Company Name: BBC og Plumbing and Design Name: Christopher Forry Email: chris@bulldogplumbing.com Address: 121 23rd. St. SE Phone #: (253)922-1100 Puyallup WA 98498 Project Type Nonresidential Activity Type Alteration Scope of Work Plumbing Project Name: Scott Babin DDS and Associates Description of Work: Scope: 3 dental chairs, washer box, 2 dental sinks & 1 relocate staff lounge sink Project Details Scope of Work Like for like equipment in the same location Type of Use Work includes commercial kitchen, food svc, med gas, lab, medical use, or dental use. Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 4 Scope: 3 dental chairs, washer box, 2 dental sinks & 1 relocate staff lounge sink. First Floor. No Med Gases. Page 2 of 2