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BLD2024-0245_Application_2.22.2024_4.37.08_PM_4077252CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1446848 - Fabian Residence Applicant First Name Last Name Company Name Delmar smith d3 plumbing Ilc Number Street Apartment or Suite Number E-mail Address po box 914 lee@d3plumbing.com City State Zip Phone Number Extension lake Stevens WA 98258 (425) 418-7267 Contractor Company Name D3 PLUMBING LLC Number Street Apartment or Suite Number PO BOX 914 City State Zip Phone Number Extension LAKE STEVENS WA 98258 (425) 876-0940 State License Number License Expiration Date UBI # E-mail Address D3PLUPL7830T 9/30/2024 FD4gR4RRB lee@d3plumbing.com Project Location Number Street Floor Number Suite or Room Number 9212 192ND PL SW City Zip Code County Parcel Number EDMONDS 98020 00434600005301 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 Jorge Fabian Quiroga Number Street Apartment or Suite Number 7815 5TH AVE NE City State Zip SEATTLE WA 98115 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: 2/22/2024 Submitted By: Delmar smith Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1446848 - Fabian Residence Project Contact Company Name: d3 plumbing Ilc Name: Delmar smith Email: lee@d3plumbing.com Address: po box 914 Phone #: (425) 418-7267 lake stevens WA 98258 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Plumbing Project Name: Fabian Residence Description of Work: Just swapping a tub and valve for new ones as well as a new shower valve in basement Project Details 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 or will be a building permit associated with this work at the project location. 2 One tub shower and valve replacement upstairs. Shower valve only replacement downstairs Page 2 of 2