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BLD2022-0668_Application_5.21.2022_8.11.08_PM_2885315CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1146521 -Basement Plumbing Applicant First Name Last Name Company Name Matthew Schoenleben Number Street Apartment or Suite Number E-mail Address 1227 8th Avenue S aubandmatt@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (443) 610-4166 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 1227 8TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00602200200800 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 Matthew & Aubrey Schoenleben Number Street Apartment or Suite Number 1227 8TH AVE S 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: 5/21/2022 Submitted By: Matthew Schoenleben Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1146521 -Basement Plumbing Project Contact Company Name: Name: Matthew Schoenleben Email: aubandmatt@gmail.com Address: 1227 8th Avenue S Phone #: (443) 610-4166 Edmonds WA 98020 Project Type Activity Type Single Family Residential Alteration Project Name: Basement Plumbing Description of Work: Adding a bathroom and laundry room to the basement. Project Details Scope of Work Plumbing Fixtures for Building Permit Drains Floor Drain Fixtures Clothes Washer 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) 2 1 1 1 2 Scope of Work Plumbing Home - adding a bathroom and laundry room in the basement. Page 2 of 2