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BLD2024-0290_Application_3.4.2024_11.30.37_AM_4100018CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1451694 - Bathroom improvement Applicant First Name Last Name Company Name Curtis Orndorff PRISTINE PLUMBING SYSTEMS Number Street Apartment or Suite Number E-mail Address 4957 lakemont blvd se unit c-4 #249 curtis@pristineplumbingsystems.com City State Zip Phone Number Extension Bellevue WA 98004 (425) 268-0431 Contractor Company Name PRISTINE PLUMBING SYSTEMS Number Street Apartment or Suite Number 4957 LAKEMONT BLVD SE UNIT City State Zip Phone Number Extension BELLEVUE WA 98008 (425) 268-0431 (206) 981-8888 State License Number License Expiration Date UBI # E-mail Address PRISTPS788JE 4/11/2024 BD4RQ114.,1 curtis@pristineplumbingsystems.com Project Location Number Street Floor Number Suite or Room Number 1020 5TH AVE S 2 City Zip Code County Parcel Number EDMONDS 98020 00743000000200 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 James H & Terrie L Treacy Number Street Apartment or Suite Number 1020 5TH AVE S 2 City State Zip EDMONDS WA 98020 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: 3/4/2024 Submitted By: Curtis Orndorff Page 1 of 2 CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1451694 - Bathroom improvement Project Contact Company Name: PRISTINE PLUMBING SYSTEMS Name: Curtis Orndorff Email: curtis@pristineplumbingsystems.com Address: 4957 lakemont blvd se unit Phone #: (425) 268-0431 c-4 #249 Bellevue WA 98004 Project Type Single Family Condominium Unit Activity Type Scope of Work Alteration Plumbing Project Name: Bathroom improvement Description of Work: Removing the existing tub shower unit and replacing it with a similar shower only unit. Adding a second sink to the current vanity. Project Details Scope of Work Like for like equipment in the same location 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 2 Work Location Work Description/Location (example: 1 st floor, Bottom floor unit. The only bathroom. Swapping the old Master Bath, Garage) tub/shower unit to a shower only unit and adding a second sink to the vanity area. No location changes. Page 2 of 2