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BLD2024-0788_Application_6.13.2024_11.43.59_AM_4320320CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1503725 - Panera Bread Applicant First Name Last Name Company Name Trevor Kelley Seattle Tacoma Olympia Plumbing Number Street Apartment or Suite Number E-mail Address 11301 17th Ave E t.kelley@stopinc.com City State Zip Phone Number Extension Tacoma WA 98445 (253) 394-6573 Contractor Company Name SEATTLE TAC OLY PLBG STOP INC Number Street Apartment or Suite Number 11301 17 Ave E City State Zip Phone Number Extension Tacoma WA 98445 (877) 380-7904 State License Number License Expiration Date UBI # E-mail Address SEATTT0797NZ 8/2/2025 ri(»g27755 t.kelley@stopinc.com Project Location Number Street Floor Number Suite or Room Number 7929 244TH ST SW 1 None City Zip Code County Parcel Number EDMONDS 98026 00491100001302 Associated Building Permit Number Tenant Name Panera Bread Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Lee & Barbara Agelopoulos Number Street Apartment or Suite Number 4224 NE 124TH ST City State Zip SEATTLE WA 98125 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: 6/13/2024 Submitted By: Trevor Kelley Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1503725 - Panera Bread Project Contact Company Name: Seattle Tacoma Olympia Plumbing Name: Trevor Kelley Email: t.kelley@stopinc.com Address: 11301 17th Ave E Phone #: (253) 394-6573 Tacoma WA 98445 Project Type Nonresidential Activity Type Repair or Replacement Project Name: Panera Bread Description of Work: Emergency replacement of the failed water heater Project Details Scope of Work Like for like equipment in the same location 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 Replacement of the existing water heater Page 2 of 2