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BLD2022-1132_Application_8.23.2022_6.26.57_AM_3066271CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1191644 - Kelly Applicant First Name Last Name Company Name josiah herrera GO JO PLUMBING Number Street Apartment or Suite Number E-mail Address 10426 state route 530 itisgojo@yahoo.com City State Zip Phone Number Extension arlington WA 98223 (206) 276-9758 Contractor Company Name GO JO PLUMBING Number Street Apartment or Suite Number 10426 STATE ROUTE 530 NE City State Zip Phone Number Extension ARLINGTON WA 98223 (206) 276-9758 (206) 919-2542 State License Number License Expiration Date UBI # E-mail Address GOJOPJP790RH 11/29/2023 FD97P47D6 itisgojo@yahoo.com Project Location Number Street Floor Number Suite or Room Number 8524 215TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00555400000900 Associated Building Permit Number Tenant Name NA Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Rebecca & Brendan Kelly Number Street Apartment or Suite Number 8524 215TH ST SW 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: 8/23/2022 Submitted By: josiah herrera Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1191644 - Kelly Project Contact Company Name: GO JO PLUMBING Name: josiah herrera Email: itisgojo@yahoo.com Address: 10426 state route 530 Phone #: (206) 276-9758 arlington WA 98223 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Name: Kelly Description of Work: Two new bathrooms and one kitchen on addition of home. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Ice Maker 1 Shower, Tub or Combo 2 Toilet 2 Sinks Sink 4 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, 1 st floor kitchen and second floor bathrooms. Master Bath, Garage) Page 2 of 2