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BLD2024-0301_Application_3.5.2024_2.50.34_PM_4105110CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1452757 - Tub/shower replace Applicant First Name Last Name Company Name Dave Wickline David M Wickline Inc Number Street Apartment or Suite Number E-mail Address PO BOX 1160 wicklineconstruction@gmail.com City State Zip Phone Number Extension Lake Stevens WA 98258 (425) 397-8480 Contractor Company Name David M Wickline Inc Number Street Apartment or Suite Number PO BOX 1160 City State Zip Phone Number Extension Lake Stevens WA 98258 (425) 397-8480 State License Number License Expiration Date UBI # E-mail Address DAVIDMW989P8 10/28/2024 FD9999DRq wicklineconstruction@gmail.com Project Location Number Street Floor Number Suite or Room Number 19813 80TH PL W City Zip Code County Parcel Number EDMONDS 98026 00506300000200 Associated Building Permit Number Tenant Name BLD2024-0214 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Nancy Beaumont Number Street Apartment or Suite Number 19813 80TH PL W City State Zip EDMONDS WA 98026 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: 3/5/2024 Submitted By: Dave Wickline Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1452757 - Tub/shower replace Project Contact Company Name: David M Wickline Inc Name: Dave Wickline Email: wicklineconstruction@gmail.com Address: PO BOX 1160 Phone #: (425) 397-8480 Lake Stevens WA 98258 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Plumbing Project Name: Tub/shower replace Description of Work: Remove tub and replace with side drain shower pan. Install new shower valve. Project Details Scope of Work Like for like equipment in the same location Fixtures Shower, Tub or Combo 1 Work Location Work Description/Location (example: 1 st floor, 2nd floor Bathroom Master Bath, Garage) Existing Permits There is or will be a building permit associated with this work at the project location. Page 2 of 2