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Application_1253834CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1253834 Applicant First Name Last Name Philip Shepel Company Name Shepel Homes Inc Number Street 6100 219th ST SW Apartment or Suite Number E-mail Address 480 philip@shepelhomes.com City State Zip Mountlake Terrace WA 98043 Phone Number Extension (206) 455-3440 Contractor Company Name CREATIVE PLUMBING SOLUTIONS Number Street 16995 WALES ST SE Apartment or Suite Number City State Zip MONROE WA 98272 Phone Number Extension (425)306-3828 (425)395-6401 State License Number License Expiration Date CREATPS79602 10/5/2023 UBI # E-mail Address RD45D4Dgg philip@shepelhomes.com Project Location Number Street 23320 74TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00488800300202 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 Christophe Obrien Number Street 23320 74TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026-8505 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 1/16/2023 Submitted By: Philip Shepel Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1253834 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Details Drains Floor Drain Fixtures Shower, Tub or Combo Toilet Sinks Sink Piping Water Supply Piping 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) 5 3 2 2 2 Two upper level bathrooms Page 2 of 2