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BLD2022-1203_Application_9.11.2022_9.35.22_PM_3101466CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1200147 - Haile & Mengistu residence remodel Applicant First Name Last Name Company Name Gabriel Luna YLJ LUNA PLUMBING LLC Number Street Apartment or Suite Number E-mail Address 6220 Fleming St yljlunap@hotmail.com City State Zip Phone Number Extension Everett WA 98203 (206) 941-0310 Contractor Company Name YLJ LUNA PLUMBING LLC Number Street Apartment or Suite Number 6220 Fleming st City State Zip Phone Number Extension EVERETT WA 98203 (206)941-0310 State License Number License Expiration Date UBI # E-mail Address YLJLULP795NG 12/7/2023 BD44711:3.'l yljlunap@hotmail.com Project Location Number Street Floor Number Suite or Room Number 620 VIEW PL City Zip Code County Parcel Number EDMONDS 98020 00606000000800 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 Teshome A & Mengistu Medanit A Haile Number Street Apartment or Suite Number 620 VIEW PL 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: 9/11/2022 Submitted By: Gabriel Luna Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1200147 - Haile & Mengistu residence remodel Project Contact Company Name: YLJ LUNA PLUMBING LLC Name: Gabriel Luna Email: yljlunap@hotmail.com Address: 6220 Fleming St Phone #: (206) 941-0310 Everett WA 98203 Project Type Single Family Residential Activity Type Alteration Project Name: Haile & Mengistu residence remodel Description of Work: Plumbing work Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Dishwasher Hose Bib Ice Maker Pressure Reducing Valve - Plum Shower, Tub or Combo Toilet Water Heater - Gas Mechanical Sinks Sink Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 2 1 1 3 3 1 E•3 Scope of Work Plumbing Garage, main floor and 2nd floor. Page 2 of 2