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BLD2021-1647+Application+12.7.2021_8.44.41_AM+2556859CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1058810 - Mike's Plumbing TI Applicant First Name Last Name Company Name Nicole Marinez Mike's Plumbinq & Drain Cleaninq Number Street Apartment or Suite Number E-mail Address PO Box 1535 City State Zip Edmonds WA 98020-1535 Contractor Company Name MIKES PLUMBING/DRAIN CLEANING Number Street PO Box 1535 mikes plumbinq(a)-msn.com Phone Number Extension (425) 775-0201 Apartment or Suite Number City State Zip Phone Number Extension Edmonds WA 98020-1535 (425) 775-0201 2063998736 State License Number License Expiration Date UBI # E-mail Address mikespc990km 5/12/2023 602114308 mikes plumbinq(cD_msn.com Project Location Number Street 21010 70TH AVE W City Zip Code EDMONDS 98026 Associated Building Permit Number BLD2021-1290 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO County Parcel Number 00566900600102 Tenant Name Mike's Plumbinq Last Name or Company Name MARINEZ RE GROUP LLC Floor Number Suite or Room Number 1 1 Apartment or Suite Number 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: 12/7/2021 Submitted By: Nicole Marinez Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Plumbing Application #1058810 - Mike's Plumbing TI Project Contact Company Name: Mike's Plumbing & Drain Cleaning Name: Nicole Marinez Email: mikes_plumbing@msn.com Address: PO Box 1535 Phone #: (425) 775-0201 Edmonds WA 98020-1535 Project Type Activity Type Scope of Work Nonresidential Alteration Plumbing Project Name: Mike's Plumbing TI Description of Work: Add kitchen, bathrooms and laundry to existing structure Project Details Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, 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) 12 warehouse, both bathrooms, break room Page 2 of 2