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Application_1332102CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1332102 Applicant First Name Filip Last Name Company Name Goras FGMECHANICAL LLC Number Street 14015 A St S Apartment or Suite Number E-mail Address Apt B304 fgmechanical@yahoo.com City State Parkland WA Zip Phone Number Extension 98444 (253) 820-4740 Contractor Company Name FGMECHANICAL LLC Number Street 14015 A ST S Apartment or Suite Number Apt B304 City PARKLAND State Zip Phone Number Extension WA 98444 (253)820-4740 State License Number FGMECL*771 KE License Expiration Date UBI # E-mail Address 5/5/2025 FDS999D97 fgmechanical@yahoo.com Project Location Number Street 23326 94TH PL W Floor Number Suite or Room Number City EDMONDS Zip Code County Parcel Number 98020 00590500000100 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Charles A Last Name or Company Name Castellow Number Street 23326 94TH PL W Apartment or Suite Number City EDMONDS State Zip WA 98020-5006 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 6/13/2023 Submitted By: Filip Goras Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1332102 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Piping Gas Piping Outlets - Plum Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, Remove gas equipment that was feeding pool Master Bath, Garage) equipment, run new gas line from meter to in ground gas fire pit. Page 2 of 2