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BLD2022-1452_Application_10.21.2022_12.28.16_PM_3178605CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1219406 - Moya Plumbing 1022 Applicant First Name Last Name Company Name DARIN HAGSTROM Number Street Apartment or Suite Number E-mail Address 615 3rd ave In drh4444@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 773-6889 Contractor Company Name BEE'S PLUMBING, HTG & SWR CORP Number Street Apartment or Suite Number 4508 SW OTHELLO STREET City State Zip Phone Number Extension SEATTLE WA 98136 (206)745-7570 State License Number License Expiration Date UBI # E-mail Address BEESPPH788L2 6/14/2024 FD4DR915B drh4444@gmail.com Project Location Number Street Floor Number Suite or Room Number 615 3RD AVE N City Zip Code County Parcel Number EDMONDS 98020 27032400203500 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 Darin Hagstrom Number Street Apartment or Suite Number 615 3rd Ave N 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: 10/21/2022 Submitted By: DARIN HAGSTROM Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1219406 - Moya Plumbing 1022 Project Contact Company Name: Name: DARIN HAGSTROM Email: drh4444@gmail.com Address: 615 3rd ave n Phone #: (425) 773-6889 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Name: Moya Plumbing 1022 Description of Work: Intallation of gas line for stove top, fireplace, and barbeque Project Details Scope of Work Plumbing Fixtures for Building Permit Piping Gas Piping Outlets - Plum 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) 3 1 st floor family room/kitchen and outside deck area Page 2 of 2