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Application_1356962CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1356962 Applicant First Name Last Name Company Name josiah herrera GO JO PLUMBING, LLC Number Street Apartment or Suite Number E-mail Address 10426 state route 530 itisgojo@yahoo.com City State Zip Phone Number Extension arlington WA 98223 (206) 276-9758 Contractor Company Name GO JO PLUMBING Number Street Apartment or Suite Number 10426 STATE ROUTE 530 NE City State Zip Phone Number Extension ARLINGTON WA 98223 (206) 276-9758 (206) 919-2542 State License Number License Expiration Date UBI # E-mail Address GOJOPJP790RH 11/29/2023 F697P4766 itisgojo@yahoo.com Project Location Number Street Floor Number Suite or Room Number 19135 83RD AVE W City Zip Code County Parcel Number EDMONDS 98026 00481600500800 Associated Building Permit Number Tenant Name NA Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Lorne Lester Sleipness Number Street Apartment or Suite Number 19135 83RD AVE W 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, 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: 8/2/2023 Submitted By: josiah herrera Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1356962 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Scope of Work Like for like equipment in the same location Fixtures Shower, Tub or Combo 1 Toilet 1 Sinks Sink 2 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, Downstairs bathroom. Coverting single lav to double, Master Bath, Garage) new tub and valve, reset new toilet. Page 2 of 2