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BLD2022-1503_Application_11.2.2022_10.47.53_AM_3198901CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1224433 - GIFFORD Applicant First Name Last Name Company Name Javier Torres Pilchuck Plumbing LLC Number Street Apartment or Suite Number E-mail Address 15717 112th St NE javier@pilchuckplumbing.com City State Zip Phone Number Extension Granite Falls WA 98252 (360) 691-7858 Contractor Company Name PILCHUCK PLUMBING LLC Number Street Apartment or Suite Number 15717 112TH NE City State Zip Phone Number Extension GRANITE FALLS WA 98252 4254715233 State License Number License Expiration Date UBI # E-mail Address PILCHPL784D5 4/4/2024 FD4RRR914 javier@pilchuckplumbing.com Project Location Number Street Floor Number Suite or Room Number 9403 232ND ST SW City Zip Code County Parcel Number EDMONDS 98020 27033600103700 Associated Building Permit Number Tenant Name BLB2022-0913 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Graham R & Jennifer A Gifford Number Street Apartment or Suite Number 9403 232ND ST SW City State Zip EDMONDS WA 98020-5027 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: 11/2/2022 Submitted By: Javier Torres Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1224433 - GIFFORD Project Contact Company Name: Pilchuck Plumbing LLC Name: Javier Torres Email: javier@pilchuckplumbing.com Address: 15717 112th St NE Phone #: (360) 691-7858 Granite Falls WA 98252 Project Type Single Family Residential Activity Type Scope of Work New Plumbing Project Name: GIFFORD Description of Work: INSTALLATION OF PLUMBING SYSTEMS AND PLUMBING FIXTURES Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Hose Bib Shower, Tub or Combo Toilet Water Heater - Tankless 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 3 4 3 1 5 9405 252nd st sw Edmonds, Wa 98020 Page 2 of 2