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Application_1481872CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1481872 Applicant First Name Last Name Quiana Williams Company Name Jacuzzi Bath Remodel of Seattle Number Street 8330 S 259th St Apartment or Suite Number E-mail Address quiana.williams@jacuzzi.com City State Zip Kent WA 98030 Phone Number Extension (253) 625-9168 Contractor Company Name JACUZZI BATH REMODEL OF SEA Number Street 8330 S 259th St Apartment or Suite Number City State Zip Kent WA 98030 Phone Number Extension (253) 625-9168 State License Number License Expiration Date JACUZBR787P8 11/18/2024 UBI # E-mail Address BD47.snnR4 quiana.williams@jacuzzi.com Project Location Number Street 24320 87TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00665900000200 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 Christine B & David Scoville Number Street 24320 87TH PL W Apartment or Suite Number City State EDMONDS WA Zip 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 5/1/2024 Submitted By: Quiana Williams Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1481872 Project Type Single Family Residential Project Details Activity Type Repair or Replacement 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, 1 st floor bath 1 Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Scope of Work Plumbing Page 2 of 2