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BLD2022-0658_Application_5.18.2022_7.28.17_PM_2879754CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1145124 - Kris Gjylameti Applicant First Name Last Name Company Name John Nowak NOWAK CUSTOM PLUMBING LLC Number Street Apartment or Suite Number E-mail Address 6310 135th ave se nowakcustomplumbing@gmail.com City State Zip Phone Number Extension Snohomish WA 98290 (425)508-3536 Contractor Company Name NOWAK CUSTOM PLUMBING LLC Number Street Apartment or Suite Number 6310 135TH AVE SE City State Zip Phone Number Extension SNOHOMISH WA 98290 (425)508-3536 State License Number License Expiration Date UBI # E-mail Address NOWAKCP79307 9/2/2023 BD47PRR55 nowakcustomplumbing@gmail.com Project Location Number Street Floor Number Suite or Room Number 819 DRIFTWOOD LN City Zip Code County Parcel Number EDMONDS 98020 27031300307500 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 Kristi & Gjylameti Daria Gjylameti Number Street Apartment or Suite Number 819 DRIFTWOOD LANE 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: 5/18/2022 Submitted By: John Nowak Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1145124 - Kris Gjylameti Project Contact Company Name: Name: Address: Kris Gjylameti 819 Driftwood lane Edmonds wa 98020 Project Type Single Family Residential Email: Gjylametigroup@gmail.com Phone #: 2066501368 Activity Type Scope of Work New Plumbing Project Name: Kris Gjylameti Description of Work: Basement bathroom additition Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo Toilet Sinks Sink 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, Master Bath, Garage) 1 1 1 daylight basement bath addition. Adding a toilet, shower and single Lay. Page 2 of 2