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BLD2023-1102_Application_9.1.2023_10.32.09_AM_3760717CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1370851 - Bracketts Reserve Applicant First Name Last Name Company Name lois McCain Rainier Custom Plumbing Number Street Apartment or Suite Number E-mail Address PO Box 1651 Lois@rainiercustomplumbing.com City State Zip Phone Number Extension Everett WA 98292 (425) 789-1767 Contractor Company Name RAINIER CUSTOM PLUMBING INC Number Street Apartment or Suite Number po box 1651 City State Zip Phone Number Extension Marysville WA 98270 (425) 789-1767 State License Number License Expiration Date UBI # E-mail Address RAINICP110PC 10/17/2023 FD1 9D4Dq.,i Lois@rainiercustomplumbing.com Project Location Number Street Floor Number Suite or Room Number 23908 91ST PL W City Zip Code County Parcel Number EDMONDS 98026 00463301300303 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name PACIFIC RIDGE DRH LLC Number Street Apartment or Suite Number 17921 BOTHELL EVERETT HW 100 City State Zip BOTHELL WA 98012 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: 9/1/2023 Submitted By: lois McCain Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1370851 - Bracketts Reserve Project Contact Company Name: Rainier Custom Plumbing Name: lois McCain Email: Lois@rainiercustomplumbing.com Address: PO Box 1651 Phone #: (425) 789-1767 Everett WA 98292 Project Type Single Family Residential Activity Type Scope of Work New Plumbing Project Name: Bracketts Reserve Description of Work: install new plumbing through out the house. Including all the bathrooms, garage, kitchen Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Dishwasher Hose Bib Ice Maker Shower, Tub or Combo Toilet Hot Water Heater Sinks Sink Piping Piping - Water Service Water Supply Piping Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 2 1 4 3 1 L 1 install new plumbing through out the house. Including all the bathrooms, garage, kitchen Page 2 of 2