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BLD2022-1187_Application_9.7.2022_12.12.18_AM_3092884CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1198163 - Master Bathroom Applicant First Name Last Name Company Name Roger Diaz JDA Plumbing LLC Number Street Apartment or Suite Number E-mail Address 516 143rd St diguer38@gmail.com City State Zip Phone Number Extension Lynnwood WA 98087 (425) 971-5802 Contractor Company Name JDA PLUMBING LLC Number Street Apartment or Suite Number 52ND AVE W City State Zip Phone Number Extension LYNNWOOD WA 98037 4259715802 State License Number License Expiration Date UBI # E-mail Address JDAPLPL782J8 5/16/2024 BD4,19fl9B.,i diguer38@gmail.com Project Location Number Street Floor Number Suite or Room Number 20304 87TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00572400001000 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 Cynthia L Marker Number Street Apartment or Suite Number PO BOX 819 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: 9/7/2022 Submitted By: Roger Diaz Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1198163 - Master Bathroom Project Contact Company Name: JDA Plumbing LLC Name: Roger Diaz Email: diguer38@gmail.com Address: 516 143rd St SW Phone #: (425) 971-5802 Lynnwood WA 98087 Project Type Single Family Residential Activity Type Scope of Work New Plumbing Project Name: Master Bathroom Description of Work: Another bathroom ( toilet ,sink and shower ) and utility sink is being added in the addition on the main floor. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo Toilet Sinks Sink Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 2 Plumbing a bathroom and an utility sink in the addition Page 2 of 2