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BLD2023-0966_Application_8.1.2023_11.01.22_AM_3700223CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1356236 - 23529 97th Edmonds Applicant First Name Last Name Company Name Nahu Sosa FALCON PLUMBING LLC Number Street Apartment or Suite Number E-mail Address 4610 176th St SW Unit 1 falcon1 plumbing@gmail.com City State Zip Phone Number Extension Lynnwood WA 98037 (425) 625-1378 Contractor Company Name FALCON PLUMBING LLC Number Street Apartment or Suite Number 4610 176TH ST SW UNIT 1 City State Zip Phone Number Extension LYNNWOOD WA 98037 (425) 625-1378 State License Number License Expiration Date UBI # E-mail Address FALCOPL79209 11/4/2023 FB4BA49B1 falcon1plumbing@gmail.com Project Location Number Street Floor Number Suite or Room Number 23529 97TH PL W City Zip Code County Parcel Number EDMONDS 98020 00446500000900 Associated Building Permit Number Tenant Name BLD2023-0882 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name John E & Susan C Larson Number Street Apartment or Suite Number 23529 97TH PL 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: 8/1/2023 Submitted By: Nahu Sosa Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1356236 - 23529 97th Edmonds Project Contact Company Name: FALCON PLUMBING LLC Name: Nahu Sosa Email: falcon1plumbing@gmail.com Address: 4610 176th St SW Unit 1 Phone #: (425) 625-1378 Lynnwood WA 98037 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Name: 23529 97th Edmonds Description of Work: Run new drain , vent and water lines for a new Master Bath Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo 3 Toilet 1 Sinks Sink 2 Piping Piping - Water Service 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, New Master Bath plumbing Master Bath, Garage) Page 2 of 2