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BLD2023-1023_Application_8.13.2023_11.22.51_PM_3722814CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1361703 - Firdale Ave unit 9601 Applicant First Name Last Name Company Name Vladislav Sapozhnikov PIPEX INC Number Street Apartment or Suite Number E-mail Address 11705 2nd Dr SE unit B info@pipexpro.com City State Zip Phone Number Extension Everett WA 98208 (425) 361-3356 Contractor Company Name PIPEX INC Number Street Apartment or Suite Number 11705 2ND DR SE UNIT B City State Zip Phone Number Extension EVERETT WA 98208 (425) 361-3356 (425) 309-4475 State License Number License Expiration Date UBI # E-mail Address PIPEXI*784DA 3/8/2024 FD4B75B41 info@pipexpro.com Project Location Number Street Floor Number Suite or Room Number 9633 FIRDALE AVE 1 unit 9601 City Zip Code County Parcel Number EDMONDS 98020 00449900000100 Associated Building Permit Number Tenant Name Golden Coast Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name * FIRDALE ASSOCIATES LLC Number Street Apartment or Suite Number 9500 ROOSEVELT WAY NE 100 City State Zip SEATTLE WA 98115 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: 8/13/2023 Submitted By: Vladislav Sapozhnikov Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1361703 - Firdale Ave unit 9601 Project Contact Company Name: PIPEX INC Name: Vladislav Sapozhnikov Email: info@pipexpro.com Address: 11705 2nd Dr SE unit B Phone #: (425) 361-3356 Everett WA 98208 Project Type Activity Type Scope of Work Nonresidential New Plumbing Project Name: Firdale Ave unit 9601 Description of Work: Adding 1 toilet, 1 sink, and 1 floor drain Project Details Scope of Work Plumbing Fixtures Per Plans Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered 3 Work Location Work Description/Location (example: 1st floor, unit 1 Master Bath, Garage) Page 2 of 2