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BLD2023-0235_Application_2.22.2023_5.04.18_PM_3383697CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1272889 - Rosendaal Remodel Applicant First Name Last Name Company Name James Duffield CopperWorks Plumbing Number Street Apartment or Suite Number E-mail Address 5714 Parkview Ln copperworksplumbingllc@gmail.com City State Zip Phone Number Extension Everett WA 98203 (206) 914-2085 Contractor Company Name COPPERWORKS PLUMBING LLC Number Street Apartment or Suite Number 5714 PARKVIEW LN City State Zip Phone Number Extension EVERETT WA 98203 (206)914-2085 State License Number License Expiration Date UBI # E-mail Address COPPEPL794RN 12/20/2023 FD4'187785 copperworksplumbingllc@gmail.com Project Location Number Street Floor Number Suite or Room Number 24132 102ND PL W City Zip Code County Parcel Number EDMONDS 98020 00555000004100 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 Darryl W & Lamona G Roosendaal Number Street Apartment or Suite Number 24132 102ND PL W City State Zip EDMONDS WA 98020-5716 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: 2/22/2023 Submitted By: James Duffield Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1272889 - Rosendaal Remodel Project Contact Company Name: CopperWorks Plumbing Name: James Duffield Email: copperworksplumbingllc@gmail.com Address: 5714 Parkview Ln Phone #: (206) 914-2085 Everett WA 98203 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Name: Rosendaal Remodel Description of Work: Replumb most plumbing fixtures and install new water piping throughout. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer 1 Dishwasher 1 Hose Bib 2 Ice Maker 1 Shower, Tub or Combo 2 Toilet 1 Water Heater - Tankless 1 Sinks Sink 4 Piping Water Line Re -Pipe 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: 1 st floor, On main floor. Replacement of said fixtures. Master Bath, Garage) Page 2 of 2