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BLD2023-0565_Application_5.9.2023_2.57.29_PM_3534661CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1312954 - Dickison Applicant First Name Last Name Company Name Joshua Prochnow KING PLUMBING LLC Number Street Apartment or Suite Number E-mail Address 120 161 st St SE info@kingplumbing.co City State Zip Phone Number Extension Bothell WA 98012 (262) 355-5334 Contractor Company Name KING PLUMBING LLC Number Street Apartment or Suite Number 120 161st St SE City State Zip Phone Number Extension Bothell WA 98012 (425)365-1673 State License Number License Expiration Date UBI # E-mail Address KINGPPL799RM 12/6/2023 FD4ggg41 B info@kingplumbing.co Project Location Number Street Floor Number Suite or Room Number 9919 224TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00450700400001 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 Stephen W & Rebecca L Dickison Number Street Apartment or Suite Number 9919 224TH S W 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: 5/9/2023 Submitted By: Joshua Prochnow Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1312954 - Dickison Project Contact Company Name: KING PLUMBING LLC Name: Joshua Prochnow Email: info@kingplumbing.co Address: 120 161st St SE Phone #: (262) 355-5334 Bothell WA 98012 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Name: Dickison Description of Work: Master bath remodel Project Details Fixtures Hose Bib 1 Shower, Tub or Combo 1 Toilet 1 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: 1 st floor, Master bath Master Bath, Garage) Page 2 of 2