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BLD2023-1602_Application_12.14.2023_1.53.46_AM_3951953CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1416872 - JCKILLIN Applicant First Name Last Name Company Name Ted Becraft Becraft Plumbing Number Street Apartment or Suite Number E-mail Address 2126 Lake Heights Dr becraft98208@aol.com City State Zip Phone Number Extension Everett WA 98208 (425) 345-3192 Contractor Company Name Becraft Plumbing Number Street Apartment or Suite Number 2126 Lake Heights Dr City State Zip Phone Number Extension Everett WA 98208 (425) 345-3192 State License Number License Expiration Date UBI # E-mail Address BECRAP*795NL 8/9/2025 RD9781 DRq becraft98208@aol.com Project Location Number Street Floor Number Suite or Room Number 21100 86TH PL W City Zip Code County Parcel Number EDMONDS 98026 00373600501612 Associated Building Permit Number Tenant Name BLD2023-1197 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Brian & Massot Trisha Heagler Number Street Apartment or Suite Number 21100 86TH PL W 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: 12/14/2023 Submitted By: Ted Becraft Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1416872 - JCKILLIN Project Contact Company Name: Becraft Plumbing Name: Ted Becraft Email: becraft98208@aol.com Address: 2126 Lake Heights Dr Phone #: (425) 345-3192 Everett WA 98208 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Name: JCKILLIN Description of Work: Rough in plumbing. When ready, trim and finish. And then call for final inspection. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Hose Bib 1 Shower, Tub or Combo 2 Toilet 1 Sinks Sink 2 Work Location Work Description/Location (example: 1 st floor, Master Bath Master Bath, Garage) Existing Permits There is or will be a building permit associated with this work at the project location. Page 2 of 2