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BLD2021-1205+Application+8.30.2021_3.12.15_PM+2383842CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1012841 -Sink Replacement Applicant First Name Last Name Company Name SUNG-HYUN KIM Vons Chicken Number Street Apartment or Suite Number E-mail Address 22511 Hwy 99 Suite 102 stevenkimcpa(&_yahoo.com City State Zip Phone Number Extension Edmonds WA 98026 4257871928 Contractor Company Name Owner Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 22511 HIGHWAY 99 S City Zip Code County Parcel Number EDMONDS 98020 27042900307400 Associated Building Permit Number Tenant Name Von's Chicken Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 102 First Name Last Name or Company Name SUNG-HYUN Kim Number Street Apartment or Suite Number 15227 34th dr se City State Zip MILL CREEK WA 98012 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: 8/30/2021 Submitted By: SUNG-HYUN KIM Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Plumbing Application #1012841 -Sink Replacement Project Contact Company Name: Vons Chicken Name: SUNG-HYUN KIM Email: stevenkimcpa@yahoo.com Address: 22511 Hwy 99 Suite 102 Phone #: 4257871928 Edmonds WA 98026 Project Type Activity Type Scope of Work Nonresidential Alteration Plumbing Project Name: Sink Replacement Description of Work: replacing the two compartments sink with a three compartments sink Project Details Scope of Work Like for like equipment in the same location Type of Use Work includes commercial kitchen, food svc, med gas, lab, medical use, or dental use. Associated Building Permit? There is no other onsite work that requires a building permit. Additional Project Information Total number of fixtures being added or altered 1 Work Location Work Description/Location (example: 1st floor, Kitchen Master Bath, Garage) Page 2 of 2