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BLD2023-0086_Application_1.22.2023_11.07.33_AM_3326880CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1257475 - Ross Project Applicant First Name Last Name Company Name Josh Rodriguez RODRIGUEZ PLUMBING LLC Number Street Apartment or Suite Number E-mail Address 32 150th PI SE rodriguezplumbingllc@gmail.com City State Zip Phone Number Extension Lynnwood WA 98087 (425) 508-9595 Contractor Company Name RODRIGUEZ PLUMBING LLC Number Street Apartment or Suite Number 32 150TH PL SE City State Zip Phone Number Extension LYNNWOOD WA 98087 (425)508-9595 State License Number License Expiration Date UBI # E-mail Address RODRIPL786BU 2/2/2024 FD:3 ,7.99.'l rodriguezplumbingllc@gmail.com Project Location Number Street Floor Number Suite or Room Number 22624 105TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00610400001500 Associated Building Permit Number Tenant Name BLD2022-0155 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Donald Q Ross Number Street Apartment or Suite Number 22624 105TH AVE W City State Zip EDMONDS WA 98020-5135 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: 1/22/2023 Submitted By: Josh Rodriguez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1257475 - Ross Project Project Contact Company Name: RODRIGUEZ PLUMBING LLC Name: Josh Rodriguez Address: 32 150th PI SE Lynnwood WA 98087 Project Type Single Family Residential Project Name: Ross Project Description of Work: Plumb in addition. Project Details Email: rodriguezplumbingllc@gmail.com Phone #: (425) 508-9595 Activity Type Scope of Work New Plumbing Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo Toilet Hot Water Heater Sinks Sink Piping Piping - Water Service 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) 2 2 1 3 Addition on the back of house. Page 2 of 2