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BLD2023-1655_Application_12.28.2023_10.55.35_AM_3973870CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1421647 - Kidstrong Applicant First Name Last Name Company Name Russell Horan RKHoran Plumbing LLC Number Street Apartment or Suite Number E-mail Address 2302 R st se 94 rkhoran22@yahoo.com City State Zip Phone Number Extension Auburn WA 98002-7074 (360) 556-1407 Contractor Company Name R K HORAN PLUMBING LLC Number Street Apartment or Suite Number 2302 R ST SE City State Zip Phone Number Extension AUBURN WA 98002 (360) 556-1407 State License Number License Expiration Date UBI # E-mail Address RKHORKH781 KQ 7/20/2024 FD48794RD rkhoran22@yahoo.com Project Location Number Street Floor Number Suite or Room Number 22315 HIGHWAY 99 1 none City Zip Code County Parcel Number EDMONDS 98026 27042900302700 Associated Building Permit Number Tenant Name BLD2023-1329 Kidstrong Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name PACIFIC PLAZA LLC Number Street Apartment or Suite Number 10120 NE 59TH ST City State Zip KIRKLAND WA 98033 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: 12/28/2023 Submitted By: Russell Horan Page 1 of 2 CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1421647 - Kidstrong Project Contact Company Name: RKHoran Plumbing LLC Name: Russell Horan Email: rkhoran22@yahoo.com Address: 2302 R st se 94 Phone #: (360) 556-1407 Auburn WA 98002-7074 Project Type Activity Type Scope of Work Nonresidential Alteration Plumbing Project Name: Kidstrong Description of Work: Plumbing Project Details Scope of Work Plumbing Fixtures Per Plans Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered 2 Work Location Work Description/Location (example: 1 st floor, 1st Floor Master Bath, Garage) Page 2 of 2