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BLD2023-0052_Application_1.12.2023_1.23.42_PM_3311899CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1253384 - Plumbing - 7922 203rd ST SW Applicant First Name Last Name Company Name Select Homes Select Homes Select Homes, Inc. Number Street Apartment or Suite Number E-mail Address 8304 212th St SW kayla.clark@outlook.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 742-6044 Contractor Company Name ADVANCED PLUMBING LLC Number Street Apartment or Suite Number 1822 bickford ave D City State Zip Phone Number Extension Snohomish WA 98290 (425) 348-5100 State License Number License Expiration Date UBI # E-mail Address ADVANPL917LS 6/10/2019 Fi(»91 nns.si schedule@advancedplumbingheating.net Project Location Number Street Floor Number Suite or Room Number 7922 203RD ST SW City Zip Code County Parcel Number EDMONDS 98026 27041900112700 Associated Building Permit Number Tenant Name BLD2021-1719 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name SELECT HOMES INC Number Street Apartment or Suite Number 8304 212TH ST SW City State Zip EDMONDS WA 98026 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: 1/12/2023 Submitted By: Select Homes Select Homes Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1253384 - Plumbing - 7922 203rd ST SW Project Contact Company Name: Select Homes, Inc. Name: Gary Klick Email: kayla.clark@outlook.com Address: 8304 212th St SW Phone #: (425) 742-6044 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Name: Plumbing - 7922 203rd ST SW Description of Work: plumbing for sfr Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer 1 Dishwasher 1 Hose Bib 2 Shower, Tub or Combo 4 Toilet 2 Hot Water Heater 1 Sinks Sink 7 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, whole house Master Bath, Garage) Page 2 of 2