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BLD2024-0415_Application_3.26.2024_4.00.49_PM_4135332CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1458611 - BSMT_BATH_PLUMBING Applicant First Name Last Name Company Name MATTHEW WIESE Number Street Apartment or Suite Number E-mail Address 23309 Robin Hood Dr matt.wiese206@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 351-2307 Contractor Company Name CHERMAK CONSTRUCTION INC Number Street Apartment or Suite Number 655 Edmonds Way City State Zip Phone Number Extension Edmonds WA 98020 (425) 776-1367 State License Number License Expiration Date UBI # E-mail Address CHERMC1110NU 8/15/2025 FD1 1 R5531 sam@chermak.com Project Location Number Street Floor Number Suite or Room Number 23309 ROBIN HOOD DR City Zip Code County Parcel Number EDMONDS 98020 00571300400900 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 Matthew V & Mittet Jensine I Wiese Number Street Apartment or Suite Number 23309 ROBIN HOOD DR City State Zip EDMONDS WA 98020-5115 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: 3/26/2024 Submitted By: MATTHEW WIESE Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1458611 - BSMT_BATH_PLUMBING Project Contact Company Name: Name: MATTHEW WIESE Email: matt.wiese206@gmaii.com Address: 23309 Robin Hood Dr Phone #: (206) 351-2307 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Name: BSMT_BATH_PLUMBING - demolition down to studs and slab subfloor - open slab to re-route existing lav drain + vent, Description of add shower drain, and move vanity drain - fill and close slab - modify wet plumbing for new Work: placement of vanity, new placement of shower head and mixer, replace water heater service run due to some past corrosion - complete drywall and finish work Project Details Scope of Work Plumbing Fixtures for Building Permit Drains Floor Drain 2 Fixtures Shower, Tub or Combo 1 Toilet 1 Sinks Sink 1 Piping Water Line Re -Pipe Water Supply Piping 5 Work Location Work Description/Location (example: 1 st floor, basement bathroom Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Page 2 of 2