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BLD2023-1536_Application_11.30.2023_9.54.05_AM_3923080CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1410214 - Master Bathroom Applicant First Name Last Name Company Name Brenda Jones INFINITY GC LLC Number Street Apartment or Suite Number E-mail Address 16229 Simonds Rd NE brenda@infinitygcllc.com City State Zip Phone Number Extension Kenmore WA 98028 (206) 890-4323 Contractor Company Name INFINITY GC LLC Number Street Apartment or Suite Number 16229 SIMONDS RD NE City State Zip Phone Number Extension KENMORE WA 98028 (206) 890-4323 State License Number License Expiration Date UBI # E-mail Address INFINGL783OW 9/26/2024 FD4gRF;n19 brenda@infinitygcllc.com Project Location Number Street Floor Number Suite or Room Number 402 3RD AVE S 304 City Zip Code County Parcel Number EDMONDS 98020 00843300230400 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 Timothy H\brown Nancy R Brincefield Number Street Apartment or Suite Number 402 3RD AVE S 304 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: Brenda Jones Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1410214 - Master Bathroom Project Contact Company Name: INFINITY GC LLC Name: Brenda Jones Email: brenda@infinitygcllc.com Address: 16229 Simonds Rd NE Phone #: (206) 890-4323 Kenmore WA 98028 Project Type Single Family Condominium Unit Activity Type Scope of Work Alteration Plumbing Project Name: Master Bathroom Description of Work: Convert tub to shower. New floors. New cabinets Project Details Scope of Work Plumbing Fixtures Per Plans 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 2 Work Location Work Description/Location (example: 1 st floor, master bathroom Master Bath, Garage) Page 2 of 2