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BLD2024-0668_Application_5.16.2024_5.40.42_PM_4263431CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1490007 - sugar/scovil Applicant First Name Last Name Company Name andy zuanich Lakewood Plumbing&Mechanical Inc Number Street Apartment or Suite Number E-mail Address 2815 181st PI NW lakewoodplginc@hotmail.com City State Zip Phone Number Extension Stanwood WA 98292 (360) 652-5136 Contractor Company Name LAKEWOOD PLUMBING/MECHNCAL INC Number Street Apartment or Suite Number 2815 181st PI NW City State Zip Phone Number Extension Stanwood WA 98292 (360) 652-5136 State License Number License Expiration Date UBI # E-mail Address LAKEWP1793NR 8/17/2025 RD1 q41 R9R lakewoodplginc@hotmail.com Project Location Number Street Floor Number Suite or Room Number 10234 242ND PL SW City Zip Code County Parcel Number EDMONDS 98020 00555000004902 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 SIGNATURE HOMES BY VILLAGE LIFE LLC Number Street Apartment or Suite Number 19020 33RD AVE W 4500 City State Zip LYN N WOOD WA 98036 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: 5/16/2024 Submitted By: andy zuanich Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1490007 - sugar/scovil Project Contact Company Name: Lakewood Plumbing&Mechanical Inc Name: andy zuanich Email: lakewoodplginc@hotmail.com Address: 2815 181st PI NW Phone #: (360) 652-5136 Stanwood WA 98292 Project Type Single Family Residential Project Name: sugar/scovil Description of Work: rough in and trim plumbing Project Details Activity Type Scope of Work New Plumbing Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Dishwasher Hose Bib Ice Maker Shower, Tub or Combo Toilet Water Heater - Gas Mechanical Sinks Sink Piping Piping - Water Service Water Supply Piping Systems Grey Water System Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is or will be a building permit associated with this work at the project location. 1 1 2 1 4 3 1 7 1 10234 242nd pl sw edmonds Page 2 of 2