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BLD2023-0100_Application_1.24.2023_9.48.19_PM_3332012CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1258994 - walnut st Applicant First Name Last Name Company Name Derek Pine K D P Plumbing Number Street Apartment or Suite Number E-mail Address 3702 west valley hwy In 102 kdpplumbing@gmail.com City State Zip Phone Number Extension Auburn WA 98001 (253) 226-1579 Contractor Company Name K D P Plumbing Number Street Apartment or Suite Number 18023 E Clear lake Blvd SE City State Zip Phone Number Extension Yelm WA 98597 253-226-1579 253-583-4282 State License Number License Expiration Date UBI # E-mail Address KDPPLDP792RA 11/29/2023 BD975.1R.17 kdpplumbing@gmail.com Project Location Number Street Floor Number Suite or Room Number 857 WALNUT ST City Zip Code County Parcel Number EDMONDS 98020 00434207402000 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 Mary K & Malfavon Alberto Orejel Blake Number Street Apartment or Suite Number 857 WALNUT ST 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: 1/24/2023 Submitted By: Derek Pine Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1258994 - walnut st Project Contact Company Name: K D P Plumbing Name: Derek Pine Email: kdpplumbing@gmail.com Address: 3702 west valley hwy n 102 Phone #: (253) 226-1579 Auburn WA 98001 Project Type Single Family Residential Project Name: walnut st Description of Work: plumbing Project Details Activity Type Alteration Fixtures Clothes Washer Hose Bib Ice Maker Shower, Tub or Combo Toilet Sinks Sink 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) 1 3 1 2 2 4 Scope of Work Plumbing Plumbing for mechanical, basement bath, laundry, kitchen, upstairs bathroom. Page 2 of 2