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BLD2023-1590+Application+12.11.2023_3.25.09_PM+3946173CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1415542 - 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(a_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 604966032 brenda(cD_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: 12/11/2023 Submitted By: Brenda Jones Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1415542 - 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 Activity Type Single Family Condominium Unit Remodel Project Name: Master Bathroom Description of Work: Install R21 insulation Installing 5/8" Greenboard Project Details Primary Use Residential Condos Valuation Fair Market Value of Construction Work $1,500 Exterior Changes? The work does not involve changes to the exterior Contact Information Owner Email Address brenda@infinitygcllc.com Page 2 of 2