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BLD2023-0321_Application_3.14.2023_12.08.28_PM_3420287CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1282745 - Kitchen Remodel Applicant First Name Last Name Company Name Scott Bingham Number Street Apartment or Suite Number E-mail Address 17116 69th PI W scottbingham1@gmail.com City State Zip Phone Number Extension Edmonds WA 98026 (360) 421-2122 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 17116 69TH PL W City Zip Code County Parcel Number EDMONDS 98026 01017300000500 Associated Building Permit Number Tenant Name BLD2022-0898 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Scott Paukkarynn Perry Bingham Number Street Apartment or Suite Number 17116 69TH PL W 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: 3/14/2023 Submitted By: Scott Bingham Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1282745 - Kitchen Remodel Project Contact Company Name: Name: Address: Scott Bingham 17116 69th PI W Edmonds WA 98026 Project Type Single Family Residential Email: scottbingham1@gmail.com Phone #: (360) 421-2122 Activity Type Scope of Work New Plumbing Project Name: Kitchen Remodel Description of Work: Extending existing water supply line to sink. Extending existing waste line from upstairs. Project Details Scope of Work Plumbing Fixtures for Building Permit Like for like equipment in the same location Fixtures Dishwasher 1 Sinks Sink 1 Piping Water Supply Piping 1 Associated Building Permit? There is or will be a building permit associated with this work at the project location. Other waste -line extended 1 Work Location Work Description/Location (example: 1st floor, Kitchen Master Bath, Garage) Page 2 of 2