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BLD2021-1572+Application+11.17.2021_10.35.57_PM+2526351CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1051701 -Edmonds Crossing Apartments Applicant First Name Last Name Company Name Leonid Glavatskiy LZG Construction LLC Number Street Apartment or Suite Number E-mail Address 2042 S 312th St Izgconstruction (D_gmai1.corn City State Zip Phone Number Extension FEDERAL WAY WA 98003 2537403303 Contractor Company Name LZG Construction LLC Number Street Apartment or Suite Number 2042 S 312th St City State Zip Phone Number Extension FEDERAL WAY WA 98003 2537403303 State License Number License Expiration Date UBI # E-mail Address LZGCOCL873PP 10/17/2023 603337725 Izqconstruction@gmail.com Project Location Number Street Floor Number Suite or Room Number 23830 EDMONDS WAY 3 10 units City Zip Code County Parcel Number EDMONDS 98026 00463301000302 Associated Building Permit Number Tenant Name BLD2019-0951 Vacant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name *CK RNK EASTSIDE LLC Number Street Apartment or Suite Number 4580 KLAHANIE DR SE 177 City State Zip ISSAQUAH WA 98029 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: 11/17/2021 Submitted By: Leonid Glavatskiy Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Plumbing Application #1051701 -Edmonds Crossing Apartments Project Contact Company Name: LZG Construction LLC Name: Leonid Glavatskiy Email: Izgconstruction@gmail.com Address: 2042 S 312th St Phone #: 2537403303 FEDERAL WAY WA 98003 Project Type Multifamily Residential Activity Type New Project Name: Edmonds Crossing Apartments Description of Work: 3 story 10 units apartments Project Details Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Work to be performed by a licensed contractor Yes 72 Scope of Work Plumbing 3 story 10 units apartments Page 2 of 2