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BLD2023-0542_Application_5.2.2023_6.08.26_PM_3520750CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1309225 - Blessing Addition Applicant First Name Last Name Company Name Mariko Blessing Number Street Apartment or Suite Number E-mail Address 9825 240th PI SW mblessing98020@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (541) 554-3271 Contractor Company Name Contractor Unknown 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 9825 240TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00446600000200 Associated Building Permit Number Tenant Name BLD2023-0182 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Mariko K & Colin M Blessing Number Street Apartment or Suite Number 9825 240TH PL SW 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: 5/2/2023 Submitted By: Mariko Blessing Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1309225 - Blessing Addition Project Contact Company Name: Name: Address: Mariko Blessing 9825 240th PI SW Edmonds WA 98020 Project Type Single Family Residential Email: mblessing98020@gmail.com Phone #: (541) 554-3271 Activity Type Scope of Work New Plumbing Project Name: Blessing Addition Description of Work: Half bathroom and family room addition Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Toilet Water Heater - Gas Mechanical Sinks Sink 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, Master Bath, Garage) 1 1 1 Main floor half bath addition associated with permit # BLD2023-0182 Page 2 of 2