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BLD2022-1450+Application+10.21.2022_9.24.33_AM+3177856CITY OF EDMONDS Plumbing Application #1218956 - Xfinity Applicant First Name Last Name Amy Hodqson MyBuildingPermit.com Company Name We Permit, LLC Number Street Apartment or Suite Number E-mail Address 7299 US HWY 18 and 151 City State Zip Barneveld WI 53507 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date Number Street 23632 HIGHWAY 99 City Zip Code EDMONDS 98026 Associated Building Permit Number 1218938 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 2539 amy(&_we-permit.com Phone Number Extension (608) 572-2365 Phone Number UBI # E-mail Address Floor Number 1 County Parcel Number 00451900100401 Tenant Name Xfinity Last Name or Company Name FW WA -AURORA MARKETPLACE LLC Apartment or Suite Number Extension Suite or Room Number A Apartment or Suite Number City State Zip SAN ANTONIO TX 78299 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: 10/21/2022 Submitted By: Amy Hodgson Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Plumbing Application #1218956 - Xfinity Project Contact Company Name: We Permit, LLC Name: Amy Hodgson Email: amy@we-permit.com Address: 7299 US HWY 18 and 151 Phone #: (608) 572-2365 Barneveld WI 53507 Project Type Activity Type Scope of Work Nonresidential Alteration Plumbing Project Name: Xfinity Description of Work: Add/ replacing 3 fixtures in existing tenant restroom. Project Details Scope of Work Plumbing Fixtures for Building Permit Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, 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 3 Work Location Work Description/Location (example: 1st floor, tenant restroom Master Bath, Garage) Page 2 of 2