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BLD2024-0395_Application_3.20.2024_2.56.13_PM_4147067CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1460542 - New sink for suite 208 Applicant First Name Last Name Company Name Jennifer Lau Dr. Michael Lau Number Street Apartment or Suite Number E-mail Address 7500 212th Street SW 208 jennifer.m.lau@gmail.com City State Zip Phone Number Extension Edmonds WA 98206 (425) 773-6857 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 7500 212TH ST SW 2nd 208 City Zip Code County Parcel Number EDMONDS 98026 00738800020800 Associated Building Permit Number Tenant Name Michael Lau Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name TRITONS PROPERTY INVESTMENT LLC Number Street Apartment or Suite Number 7500 212TH ST SW 101 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: 3/20/2024 Submitted By: Jennifer Lau Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1460542 - New sink for suite 208 Project Contact Company Name: Dr. Michael Lau Name: Jennifer Lau Email: jennifer.m.lau@gmail.com Address: 7500 212th Street SW 208 Phone #: (425) 773-6857 Edmonds WA 98206 Project Type Nonresidential Activity Type Alteration Scope of Work Plumbing Project Name: New sink for suite 208 Description of Work: New sink for 2nd floor suite 208, in the back office. Project Details 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 Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 New sink in back room of Suite 208 (2nd floor). Page 2 of 2