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BLD2022-0974_Application_7.21.2022_10.26.57_AM_3003763CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1176635 - BEAUCHENE Applicant First Name Last Name Company Name Javier Torres Pilchuck Plumbing LLC Number Street Apartment or Suite Number E-mail Address 15717 112th St NE javier@pilchuckplumbing.com City State Zip Phone Number Extension Granite Falls WA 98252 (360) 691-7858 Contractor Company Name PILCHUCK PLUMBING LLC Number Street Apartment or Suite Number 15717 112TH NE City State Zip Phone Number Extension GRANITE FALLS WA 98252 4254715233 State License Number License Expiration Date UBI # E-mail Address PILCHPL784D5 4/4/2024 FD4RRR914 javier@pilchuckplumbing.com Project Location Number Street Floor Number Suite or Room Number 9508 231 ST PL SW City Zip Code County Parcel Number EDMONDS 98020 00596600000300 Associated Building Permit Number Tenant Name BLB2022-0724 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Jason D Beauchene Number Street Apartment or Suite Number 12050 15TH AVE NE 401 City State Zip SEATTLE WA 98125 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: 7/21/2022 Submitted By: Javier Torres Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1176635 - BEAUCHENE Project Contact Company Name: Pilchuck Plumbing LLC Name: Javier Torres Email: javier@pilchuckplumbing.com Address: 15717 112th St NE Phone #: (360) 691-7858 Granite Falls WA 98252 Project Type Single Family Residential Activity Type Alteration Scope of Work Plumbing Project Name: BEAUCHENE Description of Work: RELOCATING ICE MAKER, REARRANGING KITCHEN SINK WATER, PROVIDING GAS STUB FOR GAS STOVE. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Dishwasher 1 Ice Maker 1 Sinks Sink 1 Piping Gas Piping Outlets - Plum 1 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: 1 st floor, First floor kithen Master Bath, Garage) Page 2 of 2