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BLD2023-1386_Application_11.1.2023_8.26.29_AM_3873580CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1398256 - Henok residential altercation Applicant First Name Last Name Company Name HENOK YESHEWAERGET Number Street Apartment or Suite Number E-mail Address 22021 22021 76 AVE WEST henery05@yahoo.com City State Zip Phone Number Extension EDMONDS WA 98026 (206) 753-9659 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 22021 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27042900305100 Associated Building Permit Number Tenant Name BLD2023-0496 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Henok Yeshewaerget Number Street Apartment or Suite Number 22021 76 AVE WEST City State Zip Edmonds WASHINGT 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: 11/1/2023 Submitted By: HENOK YESHEWAERGET Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1398256 - Henok residential altercation Project Contact Company Name: Name: HENOK YESHEWAERGET Email: henery05@yahoo.com Address: 22021 22021 76 AVE WEST Phone #: (206) 753-9659 EDMONDS WA 98026 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Name: Henok residential altercation Description of Work: installing plumbing line for half bath and washer room Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Toilet Sinks Sink Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is or will be a building permit associated with this work at the project location. 1 1 1 It's located right next to the kitchen on first floor . Rambler house ) Page 2 of 2