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BLD2024-0738_Application_6.3.2024_12.26.27_PM_4296482CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1497907 - Bathroom Remodel Applicant First Name Last Name Company Name Kevin Howe Number Street Apartment or Suite Number E-mail Address 21709 82nd Ave W kchowe0l@gmail.com City State Zip Phone Number Extension Edmonds WA 98026 (949) 939-7553 Contractor Company Name Owner 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 21709 82ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00534600000700 Associated Building Permit Number Tenant Name BLD2024-0413 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Kevin C & Acuna Roeder Roxana M Howe Number Street Apartment or Suite Number 21709 82ND AVE W 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: 6/3/2024 Submitted By: Kevin Howe Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1497907 - Bathroom Remodel Project Contact Company Name: Name: Kevin Howe Email: kchowe0l@gmaii.com Address: 21709 82nd Ave W Phone #: (949) 939-7553 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Name: Bathroom Remodel Description of Work: Adding water supply & grey water plumbing to a new bathroom to support 1 toilet, 1 shower, & 2 sinks. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo Toilet 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 Master Bathroom Page 2 of 2