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Application_1445225CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1445225 Applicant First Name Last Name Quiana Williams Company Name Jacuzzi Bath Remodel of Seattle Number Street 8330 S 259th St Apartment or Suite Number E-mail Address quiana.williams@jacuzzi.com City State Zip Kent WA 98030 Phone Number Extension (253) 625-9168 Contractor Company Name JACUZZI BATH REMODEL OF SEA Number Street 8330 S 259th St Apartment or Suite Number City State Zip Kent WA 98030 Phone Number Extension (253) 625-9168 State License Number License Expiration Date JACUZBR787P8 11/18/2024 UBI # E-mail Address BD47.snnR4 quiana.williams@jacuzzi.com Project Location Number Street 8520 202ND ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27041900211500 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 C Brent & Linda Hunter Number Street 8520 202ND ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026-6643 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 2/20/2024 Submitted By: Quiana Williams Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1445225 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Shower, Tub or Combo 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 2nd Floor Master bathroom Scope of Work Plumbing Page 2 of 2