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BLD2023-0106_Application_1.25.2023_4.00.01_PM_3334163CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1259511 - LVL Construction Applicant First Name Last Name Company Name Jim Paris Corporation / S Corp Number Street Apartment or Suite Number E-mail Address 21420 67th Ave W office@parisplumbinginc.com City State Zip Phone Number Extension Lynnwood WA 98036 (206) 362-8950 Contractor Company Name PARIS PLUMBING & HEATING INC Number Street Apartment or Suite Number 11535 15th Ave. NE City State Zip Phone Number Extension Seattle WA 98125 (206) 362-8950 State License Number License Expiration Date UBI # E-mail Address PARISPH789DC 3/10/2024 FD1 1 R5g5q office@parisplumbinginc.com Project Location Number Street Floor Number Suite or Room Number 172 SUNSET AVE S 1 None City Zip Code County Parcel Number EDMONDS 98020 27032300104500 Associated Building Permit Number Tenant Name Vie & Vin Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name SALISH CROSSING GROUP LLC Number Street Apartment or Suite Number 923 POWELL AVE SW City State Zip RENTON WA 97057 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: 1/25/2023 Submitted By: Jim Paris Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1259511 - LVL Construction Project Contact Company Name: Corporation / S Corp Name: Jim Paris Address: 21420 67th Ave W Lynnwood WA 98036 Project Type Nonresidential Email: office@parisplumbinginc.com Phone #: (206) 362-8950 Activity Type Alteration Project Name: LVL Construction Description of Work: Plumbing for kitchen dish area of space Project Details Scope of Work Plumbing Fixtures Per Plans Type of Use Work includes commercial kitchen, food svc, med gas, lab, medical use, or dental use. 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 4 Work Location Work Description/Location (example: 1st floor, Main floor kitchen Master Bath, Garage) Scope of Work Plumbing Page 2 of 2