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BLD2023-1540_Application_11.30.2023_12.53.40_PM_3926798CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1411059 - wagner Applicant First Name Last Name Company Name Erich Klemp Protocol Plumbing & Sewer Number Street Apartment or Suite Number E-mail Address 1624 Grove ST D2 erich@protocolplumbing.com City State Zip Phone Number Extension Marysville WA 98270 (425) 743-4940 Contractor Company Name PROTOCOL PLUMBING & SEWER Number Street Apartment or Suite Number 1624 Grove ST D2 City State Zip Phone Number Extension Marysville WA 98270 (425) 743-4940 State License Number License Expiration Date UBI # E-mail Address PROTOPS794PG 10/5/2025 ,;n9F;7nns.,i erich@protocolplumbing.com Project Location Number Street Floor Number Suite or Room Number 110 JAMES ST City Zip Code County Parcel Number EDMONDS 98020 00864100020300 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 Anna Marie J Ttee Wagner Number Street Apartment or Suite Number 110 JAMES ST 203 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: 11/30/2023 Submitted By: Erich Klemp Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1411059 - wagner Project Contact Company Name: Protocol Plumbing & Sewer Name: Erich Klemp Email: erich@protocolplumbing.com Address: 1624 Grove ST D2 Phone #: (425) 743-4940 Marysville WA 98270 Project Type Single Family Residential Activity Type Alteration Project Name: wagner Description of Work: Rough in and trim for master bathroom Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo Toilet Sinks Sink Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. 1 1 2 master bathroom Scope of Work Plumbing Page 2 of 2