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BLD2024-0201_Application_2.14.2024_8.57.03_AM_4042298CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1437787 - Mechanical room Applicant First Name Last Name Company Name Heath Shockman A -List Plumbing LLC Number Street Apartment or Suite Number E-mail Address 19505 24 STE 104 admin@alistplumbing.com City State Zip Phone Number Extension Lynwood WA 98036 (206) 734-8444 Contractor Company Name A -List Plumbing LLC Number Street Apartment or Suite Number 21133 22nd Ave W City State Zip Phone Number Extension LYNNWOOD WA 98036 (206) 734-8444 State License Number License Expiration Date UBI # E-mail Address LISTPPL774Q8 12/18/2025 FD4g79B97 admin@alistplumbing.com Project Location Number Street Floor Number Suite or Room Number 660 EDMONDS WAY Mechanical B City Zip Code County Parcel Number EDMONDS 98020 27032500309200 Associated Building Permit Number Tenant Name Jon Paul Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Jon Paul LAKESHORE INVESTMENT CORP Number Street Apartment or Suite Number 2633 EASTLAKE AVE E 307 City State Zip SEATTLE WA 98102 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: 2/14/2024 Submitted By: Heath Shockman Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1437787 - Mechanical room Project Contact Company Name: A -List Plumbing LLC Name: Heath Shockman Email: admin@alistplumbing.com Address: 19505 24 STE 104 Phone #: (206) 734-8444 Lynwood WA 98036 Project Type Activity Type Scope of Work Nonresidential Alteration Plumbing Project Name: Mechanical room Description of Work: 2 sinks and hot water heater Project Details Scope of Work Like for like equipment in the same location Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. 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 3 Work Location Work Description/Location (example: 1st floor, mechanical room Master Bath, Garage) Page 2 of 2