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BLD2023-0089_Application_1.23.2023_9.59.13_AM_3327559CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1257702 - Sarah Baldock bathroom Applicant First Name Last Name Company Name Sarah Baldock Number Street Apartment or Suite Number E-mail Address 23619 104th Ave W aogeneralconstructionsllc@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 712-8248 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 23619 104TH AVE W City Zip Code County Parcel Number EDMONDS 98020 27033600302100 Associated Building Permit Number Tenant Name BLD2022-1409 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Matt & Sarah Baldock Number Street Apartment or Suite Number 23619 104TH AVE W 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: 1/23/2023 Submitted By: Sarah Baldock Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1257702 - Sarah Baldock bathroom Project Contact Company Name: Name: Sarah Baldock Email: aogeneralconstructionsllc@gmail.com Address: 23619 104th Ave W Phone #: (206) 712-8248 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Name: Sarah Baldock bathroom Description of Work: bathroom remodeling Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo 1 Toilet 1 Sinks Sink 1 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, Bathroom remodeling Master Bath, Garage) Page 2 of 2