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BLD2022-1336_Application_10.3.2022_2.48.35_PM_3142885CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1210597 - Niedermeyer/Howell Applicant First Name Last Name Company Name Erich Klemp Protocol Plumbing & Sewer Number Street Apartment or Suite Number E-mail Address 1624 Grove ST D2 erich@protocolplumbing.com City State Zip Phone Number Extension Marysville WA 98270 (425) 743-4940 Contractor Company Name PROTOCOL PLUMBING & SEWER Number Street Apartment or Suite Number 1624 Grove ST D2 City State Zip Phone Number Extension Marysville WA 98270 (425) 743-4940 State License Number License Expiration Date UBI # E-mail Address PROTOPS794PG 10/5/2023 ,;n9F;7nns.,i erich@protocolplumbing.com Project Location Number Street Floor Number Suite or Room Number 525 MAGNOLIA LN City Zip Code County Parcel Number EDMONDS 98020 27032500203800 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 Franz & Howell Sabina Niedermeyer Number Street Apartment or Suite Number 525 MAGNOLIA LANE 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: 10/3/2022 Submitted By: Erich Klemp Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1210597 - Niedermeyer/Howell Project Contact Company Name: Protocol Plumbing & Sewer Name: Erich Klemp Email: erich@protocolplumbing.com Address: 1624 Grove ST D2 Phone #: (425) 743-4940 Marysville WA 98270 Project Type Single Family Residential Project Name: Niedermeyer/Howell Description of Work: Kitchen Remodel Project Details Activity Type Alteration Fixtures Clothes Washer Dishwasher Hose Bib Ice Maker Toilet Sinks Sink 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) 1 1 1 1 1 2 Scope of Work Plumbing Kitchen And Powder Room Laundry Located In Kitchen Page 2 of 2