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BLD2023-1486_Application_11.20.2023_9.11.53_AM_3909667CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1406884 - 7903 240th lot 2 Applicant First Name Last Name Company Name Daniel De alba NIRVANA MECHANICAL LLC Number Street Apartment or Suite Number E-mail Address 13310 Seattle hill Rd B dealba@nirvanamechanical.com City State Zip Phone Number Extension Mill Creek WA 98012 (206) 476-3304 Contractor Company Name NIRVANA MECHANICAL LLC Number Street Apartment or Suite Number 10922 NE 34thpl 1 City State Zip Phone Number Extension BELLEVUE WA 98004 (206) 476-3304 State License Number License Expiration Date UBI # E-mail Address NIRVAML787BQ 1/4/2024 RD4DR55g7 dealba@nirvanamechanical.com Project Location Number Street Floor Number Suite or Room Number 7901 240TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00452000400800 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 Unknown Unknown Number Street Apartment or Suite Number 7903 240TH ST SW Lot 2 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: 11/20/2023 Submitted By: Daniel De alba Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1406884 - 7903 240th lot 2 Project Contact Company Name: NIRVANA MECHANICAL LLC Name: Daniel De alba Address: 13310 Seattle hill Rd B Mill Creek WA 98012 Project Type Single Family Residential Project Name: 7903 240th lot 2 Description of Work: New house Project Details Email: dealba@nirvanamechanical.com Phone #: (206) 476-3304 Activity Type Scope of Work New Plumbing Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Hose Bib Shower, Tub or Combo Toilet Water Heater - Tankless 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 2 6 6 1 E:? Lot 2 Page 2 of 2