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BLD2022-1048_Application_8.5.2022_1.39.18_PM_3035767CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1184090 - Beaty Design Build Applicant First Name Last Name Company Name Kavik MacDonald Dakasi PMC Number Street Apartment or Suite Number E-mail Address 7504 47th pl ne kavmacd@gmail.com City State Zip Phone Number Extension Marysville WA 98270 (206) 931-8232 Contractor Company Name DAKASI PMC Number Street Apartment or Suite Number 242 Twin view dr City State Zip Phone Number Extension Sequim WA 98382-9575 (206)932-2948 (206)551-6475 State License Number License Expiration Date UBI # E-mail Address DAKASP*991 MP 2/23/2024 FDg 1 iiiRg kavmacd@gmail.com Project Location Number Street Floor Number Suite or Room Number 6823 180TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00513100016107 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 * BEATY DESIGN AND BUILD LLC Number Street Apartment or Suite Number 3920 NE 157TH PL City State Zip LAKE FOREST PARK WA 98155 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: 8/5/2022 Submitted By: Kavik MacDonald Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1184090 - Beaty Design Build Project Contact Company Name: Dakasi PMC Name: Kavik MacDonald Email: kavmacd@gmail.com Address: 7504 47th pl ne Phone #: (206) 931-8232 Marysville WA 98270 Project Type Single Family Residential Activity Type Alteration Project Name: Beaty Design Build Description of Work: Relocating fixtures in existing master bath Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo 2 Toilet 1 Hot Water Heater 1 Sinks Sink 2 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, Master bath Master Bath, Garage) Scope of Work Plumbing Page 2 of 2