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Application_2022-0572CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1137272 Applicant First Name Last Name Company Name Vladislav Sapozhnikov PIPEX INC Number Street Apartment or Suite Number E-mail Address 11705 2nd Dr SE unit B info@pipexpro.com City State Zip Phone Number Extension Everett WA 98208 (425)361-3356 Contractor Company Name PIPEX INC Number Street Apartment or Suite Number 11705 2ND DR SE UNIT B City State Zip Phone Number Extension EVERETT WA 98208 (425)361-3356 (425)309-4475 State License Number License Expiration Date UBI # E-mail Address PIPEXI*784DA 3/8/2024 FD4B75B41 info@pipexpro.com Project Location Number Street Floor Number Suite or Room Number 9809 220TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00637000000400 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 * TOTH LLC Number Street Apartment or Suite Number 16827 SE 34TH ST City State Zip BELLEVUE WA 98008 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 5/4/2022 Submitted By: Vladislav Sapozhnikov Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1137272 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Fixtures Clothes Washer 1 Dishwasher 1 Ice Maker 1 Shower, Tub or Combo 3 Toilet 3 Sinks Sink 5 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, the work that was performed in located on the main and Master Bath, Garage) upper floor Page 2 of 2