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BLD2022-0043_Application_1.13.2022_4.20.41_PM_2620657CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1072254 - Master Bath Applicant First Name Last Name Company Name Jay Grant Number Street Apartment or Suite Number E-mail Address 1130 5th Ave S 200 jay@jaygrant.com City State Zip Phone Number Extension Edmonds WA 98020 2064510493 Contractor Company Name DURNIN PLUMBING INC Number Street Apartment or Suite Number 23701 102 place west City State Zip Phone Number Extension Edmonds WA 98020 (206) 546-4940 State License Number License Expiration Date UBI # E-mail Address DURNIP1792M9 9/16/2023 RD9gg44i.,i james.durnin@frontier.com Project Location Number Street Floor Number Suite or Room Number 1130 5TH AVE S 2nd Floor, unit 200 City Zip Code County Parcel Number EDMONDS 98020 00691200120000 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 Jay B & Deborah S Grant Number Street Apartment or Suite Number 1130 5TH AVE S 200 City State Zip EDMONDS WA 98020 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: 1/13/2022 Submitted By: Jay Grant Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1072254 - Master Bath Project Contact Company Name: Name: Jay Grant Email: jay@jaygrant.com Address: 1130 5th Ave S 200 Phone #: 2064510493 Edmonds WA 98020 Project Type Activity Type Multifamily Residential Alteration Project Name: Master Bath Description of Work: Plumbing - new valve, new shower pan, and retile. Project Details Scope of Work Like for like equipment in the same location 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) 1 Scope of Work Plumbing Plumbing - master bath - retile shower, new shower pan and valve. Page 2 of 2