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BLD2023-1024_Application_8.13.2023_11.31.46_PM_3722824CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1361715 - Firdale Ave unit B 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 9605 FIRDALE AVE Basement Unit 9605 B 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 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1361715 - Firdale Ave unit B 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 Nonresidential Activity Type New Project Name: Firdale Ave unit B Description of Work: Adding 1 toilet, 1 sink, 1 floor drain. Project Details 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, Basement unit B Master Bath, Garage) Scope of Work Plumbing Page 2 of 2