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BLD2024-0175_Application_2.7.2024_3.22.22_PM_4046516CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1438274 - Deren Applicant First Name Last Name Company Name Nahu Sosa FALCON PLUMBING LLC Number Street Apartment or Suite Number E-mail Address 4610 176th St SW Unit 1 falcon1 plumbing@gmail.com City State Zip Phone Number Extension Lynnwood WA 98037 (425) 625-1378 Contractor Company Name FALCON PLUMBING LLC Number Street Apartment or Suite Number 5807 Lowell Rd City State Zip Phone Number Extension Everett WA 98203 (425) 625-1378 State License Number License Expiration Date UBI # E-mail Address FALCOPL79209 11/4/2025 FD4BA49B1 falcon1plumbing@gmail.com Project Location Number Street Floor Number Suite or Room Number 1058 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434204301800 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 Jeffrey D Deren Number Street Apartment or Suite Number 1058 DALEY ST City State Zip EDMONDS WA 98020-2943 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: 2/7/2024 Submitted By: Nahu Sosa Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1438274 - Deren Project Contact Company Name: FALCON PLUMBING LLC Name: Nahu Sosa Email: falcon1plumbing@gmail.com Address: 4610 176th St SW Unit 1 Phone #: (425) 625-1378 Lynnwood WA 98037 Project Type Single Family Residential Activity Type Alteration Project Name: Deren Description of Work: Lowered kitchen sink, Install new ice maker Project Details Fixtures Ice Maker 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 Scope of Work Plumbing Lowered kitchen sink drain and relocate ice make r, in the Kitchen area by the main entrance Page 2 of 2