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BLD2023-1043_Application_8.17.2023_7.10.27_PM_3733376CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1364302 - Edmonds Applicant First Name Last Name Company Name Javier Barrientos J-Bar LLC Number Street Apartment or Suite Number E-mail Address 10412 4th Ave W javier@jbarplumbing.com City State Zip Phone Number Extension Everett WA 98204 (425) 343-4073 Contractor Company Name JBAR LLC Number Street Apartment or Suite Number 10414 4th ave w City State Zip Phone Number Extension everett WA 98204 (425) 512-9284 State License Number License Expiration Date UBI # E-mail Address JBARPPL780B7 1/25/2024 ,;n.vinn9gs javier@jbarplumbing.com Project Location Number Street Floor Number Suite or Room Number 19230 80TH PL W City Zip Code County Parcel Number EDMONDS 98026 00572700000700 Associated Building Permit Number Tenant Name BLD2022-0529 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Joel & Jennifer Reinke Number Street Apartment or Suite Number 19230 80TH PL 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. 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: 8/17/2023 Submitted By: Javier Barrientos Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1364302 - Edmonds Project Contact Company Name: J-Bar LLC Name: Javier Barrientos Address: 10412 4th Ave W Everett WA 98204 Project Type Single Family Residential Project Name: Edmonds Description of Work: New Addition Project Details Email: javier@jbarplumbing.com Phone #: (425) 343-4073 Activity Type Scope of Work New Plumbing Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo 2 Toilet 1 Sinks Sink 3 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, New Addition Master Bath, Garage) Page 2 of 2