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BLD2021-1725_Application_12.22.2021_9.53.28_AM_2587874CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1051673 - Lodi Bath remodel Applicant First Name Last Name Company Name Louis Cody Lodi Number Street Apartment or Suite Number E-mail Address 8627 244th St SW codylodi@gmail.com City State Zip Phone Number Extension Edmonds WA 98026 2066176389 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 8627 244TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00463303100301 Associated Building Permit Number Tenant Name BLD2021-1613 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Louis C Lodi Number Street Apartment or Suite Number 8627 244TH ST SW City State Zip EDMONDS WA 98026 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: 12/22/2021 Submitted By: Louis Cody Lodi Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1051673 - Lodi Bath remodel Project Contact Company Name: Name: Louis Cody Lodi Email: codylodi@gmail.com Address: 8627 244TH ST SW Phone #: 2066176389 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Name: Lodi Bath remodel Description of Work: expansion and replacement of bathroom fixtures, added tankless electric hot water heater. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo 1 Toilet 1 Water Heater - Tankless 1 Sinks Sink 1 Piping Piping - Water Service Water Supply Piping 1 Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, 1st Floor bathroom Master Bath, Garage) Page 2 of 2