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BLD2023-0421_Application_4.5.2023_12.36.05_PM_3464804CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1294381 - Kitchen remodel Applicant First Name Last Name Company Name jd Stollwerck Stollwerck Plumbing & Sewer Number Street Apartment or Suite Number E-mail Address 806 5th Street A jd@stollwerckplumbing.com City State Zip Phone Number Extension Mukilteo WA 98275 (425) 374-3909 Contractor Company Name Stollwerck Plumbing LLC Number Street Apartment or Suite Number 3906 68th Dr NE City State Zip Phone Number Extension Marysville WA 98270 (206) 302-8382 State License Number License Expiration Date UBI # E-mail Address STOLLPL780CJ 2/28/2024 Fn.'19n 31 D4 jd@stollwerckplumbing.com Project Location Number Street Floor Number Suite or Room Number 17121 SEA LAWN DR City Zip Code County Parcel Number EDMONDS 98026 00566000000500 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 Kenneth W & Armstrong Susan M Armstrong Number Street Apartment or Suite Number 17121 SEA LAWN DR 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: 4/5/2023 Submitted By: jd Stollwerck Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1294381 - Kitchen remodel Project Contact Company Name: Stollwerck Plumbing & Sewer Name: jd Stollwerck Email: jd@stollwerckplumbing.com Address: 806 5th Street A Phone #: (425) 374-3909 Mukilteo WA 98275 Project Type Single Family Residential Activity Type Alteration Project Name: Kitchen remodel Description of Work: Moving Kitchen sink location Project Details Scope of Work Plumbing Fixtures for Building Permit Sinks Sink 1 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, Kitchen Remodel Master Bath, Garage) Scope of Work Plumbing Page 2 of 2