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BLD2022-0872_Application_7.5.2022_7.44.22_AM_2968893CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1168093 - Marriott master bath Applicant First Name Last Name Company Name Brigham Marriott Number Street Apartment or Suite Number E-mail Address 20630 77th PI W brigham_marriott@yahoo.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 910-9256 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 20630 77TH PL W City Zip Code County Parcel Number EDMONDS 98026 00595800002500 Associated Building Permit Number Tenant Name BLD2022-0632 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Nataliya\ Brigham Marriott Number Street Apartment or Suite Number 20630 77TH PL W 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: 7/5/2022 Submitted By: Brigham Marriott Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1168093 - Marriott master bath Project Contact Company Name: Name: Address: Brigham Marriott 20630 77th PI W Edmonds WA 98026 Project Type Single Family Residential Email: brigham_marriott@yahoo.com Phone #: (206) 910-9256 Activity Type Scope of Work New Plumbing Project Name: Marriott master bath Description of Work: Master bath and walk-in closet addition will include shower, toilet and sink. 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 1 st floor master bath addition Page 2 of 2