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BLD2022-0679_Application_5.24.2022_8.10.55_AM_2888984CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1147587 - Pawling Plumbing Permit Applicant First Name Last Name Company Name Lee Michaelis Puget Sound Planning, LLC Number Street Apartment or Suite Number E-mail Address 6100 219th St SW Suite 480 lee.michaelis@pugetsoundplanning.com City State Zip Phone Number Extension Mountlake Terrace WA 98043 (425) 830-1046 Contractor Company Name HD PARTNERS LLC Number Street Apartment or Suite Number 1141 NW 53rd St City State Zip Phone Number Extension Seattle WA 98107 (206) 719-2805 State License Number License Expiration Date UBI # E-mail Address HDPARPL790NQ 8/16/2023 stevens1043@comcast.net Project Location Number Street Floor Number Suite or Room Number 755 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434208302500 Associated Building Permit Number Tenant Name BLD2021-1667 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Gretchen G Pawling Number Street Apartment or Suite Number 755 DALEY ST 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: 5/24/2022 Submitted By: Lee Michaelis Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1147587 - Pawling Plumbing Permit Project Contact Company Name: PLCet Sound Planning, Name: Lee Michaelis Address: 6100 219th St SW Suite 480 Mountlake Terrace WA 98043 Email: lee.michaelis@pugetsoundplanning.com Phone #: (425) 830-1046 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Name: Pawling Plumbing Permit Description of Work: Installation of Plumbing Fixtures for new single family residence. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Dishwasher Ice Maker Shower, Tub or Combo Toilet Hot Water Heater Sinks Sink Piping Piping - Water Service 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: 1st floor, Master Bath, Garage) 2 2 2 6 5 1 12 Basement/ADU, First Floor, Second Floor Page 2 of 2