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BLD2023-1298_Application_10.18.2023_1.47.09_PM_3848175CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1391787 - 8929 220th St SW - Plumbing Applicant First Name Last Name Company Name Select Homes Select Homes Select Homes, Inc. Number Street Apartment or Suite Number E-mail Address 8304 212th St SW kayla.clark@outlook.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 742-6044 Contractor Company Name NW Custom Plumbing LLC Number Street Apartment or Suite Number 3405 172nd st ne 5-158 City State Zip Phone Number Extension Arlington WA 98223 (206) 660-7442 State License Number License Expiration Date UBI # E-mail Address NWCUSCP791RM 1/24/2024 FD3373451 brent.nwcp@outlook.com Project Location Number Street Floor Number Suite or Room Number 8929 220TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00380300101000 Associated Building Permit Number Tenant Name BLD2022-0746 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Select Homes, Inc. Number Street Apartment or Suite Number 8929 220TH ST SW 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: 10/18/2023 Submitted By: Select Homes Select Homes Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1391787 - 8929 220th St SW - Plumbing Project Contact Company Name: Select Homes, Inc. Name: Kayla Nichols Email: kayla.clark@outlook.com Address: 8304 212th St SW Phone #: (425) 742-6044 Edmonds WA 98026 Project Type Single Family Residential Activity Type Scope of Work New Plumbing Project Name: 8929 220th St SW - Plumbing Description of Work: plumbing for new SFR Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer 1 Dishwasher 1 Hose Bib 2 Shower, Tub or Combo 4 Toilet 3 Hot Water Heater 1 Sinks Sink 7 Piping Gas Piping Outlets - Plum 3 Piping - Water Service Water Supply Piping 1 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, whole house Master Bath, Garage) Page 2 of 2