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BLD2023-0979+Application+8.2.2023_10.54.11_AM+3702967CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1356838 - Yost pool fountain replacement Applicant First Name Last Name Company Name Kyle Woods City of Edmonds, Parks and Rec Number Street Apartment or Suite Number E-mail Address 700 Main ST kvle.woods(a_edmondswa.gov City State Zip Phone Number Extension Edmonds WA 98020 (425) 599-3847 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date Number Street 9537 BOWDOIN WAY City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension UBI # E-mail Address Floor Number 1 County Parcel Number 27032400400100 Tenant Name Klahava Swim and Tennis Club Suite or Room Number None First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 250 5TH AVE N 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: 8/2/2023 Submitted By: Kyle Woods Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Plumbing Application #1356838 - Yost pool fountain replacement Project Contact Company Name: City of Edmonds, Parks and Rec Name: Kyle Woods Email: kyle.woods@edmondswa.gov Address: 700 Main ST Phone #: (425) 599-3847 Edmonds WA 98020 Project Type Nonresidential Activity Type Repair or Replacement Project Name: Yost pool fountain replacement Description of Work: Replace (1) drinking fountain at the Yost pool. Project Details Scope of Work Plumbing Fixtures Per Plans 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 Scope of Work Plumbing Yost Park pool house, ground floor. Page 2 of 2