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BLD2023-0781_Application_6.21.2023_12.37.37_PM_3622213CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1336667 - Rodman Applicant First Name Last Name Company Name Jason Ailor Rudy's Plumbing Inc Number Street Apartment or Suite Number E-mail Address 13547 se 27th PI 4A rudysplumbinginc@gmail.com City State Zip Phone Number Extension Bellevue WA 98005 (425) 643-6900 Contractor Company Name RUDY'S PLUMBING INC Number Street Apartment or Suite Number 13547 SE 27th PI 4A City State Zip Phone Number Extension Bellevue WA 98005 (425) 643-6900 State License Number License Expiration Date UBI # E-mail Address RUDYSP1786DM 3/11/2024 RD17RRRRq rudysplumbinginc@gmail.com Project Location Number Street Floor Number Suite or Room Number 8709 191 ST PL SW City Zip Code County Parcel Number EDMONDS 98026 00672700001400 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 Cara & Rodman James Rodman Number Street Apartment or Suite Number 8709 191 ST PL SW 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: 6/21/2023 Submitted By: Jason Ailor Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1336667 - Rodman Project Contact Company Name: Rudy's Plumbing Inc Name: Jason Ailor Email: rudysplumbinginc@gmail.com Address: 13547 se 27th PI 4A Phone #: (425) 643-6900 Bellevue WA 98005 Project Type Single Family Residential Activity Type Alteration Project Name: Rodman Description of Work: Master Bath , kitchen, and laundry remodel Project Details Fixtures Clothes Washer Dishwasher Ice Maker Shower, Tub or Combo Toilet Hot Water Heater 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 2 2 1 5 Scope of Work Plumbing Master Bath, kitchen and laundry Page 2 of 2