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BLD2023-0980+Application+8.2.2023_10.46.14_AM+3702932CITY OF EDMONDS nn BtaildingPermit.com Plumbing Application #1355774 - Bracketts North Shower and Fountain Applicant First Name Last Name Company Name Kyle Woods City of Edmonds, Parks and Rec Number Street Apartment or Suite Number E-mail Address 700 Main ST kyle.woods(a_edmondswa.gov City State Zip Phone Number Extension Edmonds WA 98020 (425) 344-1505 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date UBI # Number Street 104 RAILROAD AVE N City Zip Code County Parcel Number EDMONDS 98020 27032300102800 Associated Building Permit Number Tenant Name vacant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 none First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 250 5TH AVE N City State Zip EDMONDS WA 98020 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: 8/2/2023 Submitted By: Kyle Woods Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1355774 - Bracketts North Shower and Fountain Project Contact Company Name: City of Edmonds, Parks and Rec Name: Kyle Woods Email: kyle.woods@edmondswa.gov Address: 700 Main ST Phone #: (425) 344-1505 Edmonds WA 98020 Project Type Nonresidential Activity Type Repair or Replacement Scope of Work Plumbing Project Name: Bracketts North Shower and Fountain Description of Work: Replace (1) fountain at the Brackett's North Park restroom. Replace (1) outdoor shower at Brackett's North Park. Project Details Scope of Work Plumbing Fixtures Per Plans Like for like equipment in the same location Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is no other onsite work that requires a building permit. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 2 Brackett's North Park Page 2 of 2