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BLD2024-0887_Application_7.8.2024_2.30.39_PM_4362075CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1513944 - Malone Applicant First Name Last Name Company Name James Duffield CopperWorks Plumbing Number Street Apartment or Suite Number E-mail Address 5714 Parkview Ln copperworksplumbingllc@gmail.com City State Zip Phone Number Extension Everett WA 98203 (206) 914-2085 Contractor Company Name COPPERWORKS PLUMBING LLC Number Street Apartment or Suite Number 5714 PARKVIEW LN City State Zip Phone Number Extension EVERETT WA 98203 (206) 914-2085 State License Number License Expiration Date UBI # E-mail Address COPPEPL794RN 12/20/2025 FD4'187785 copperworksplumbingllc@gmail.com Project Location Number Street Floor Number Suite or Room Number 16123 MEADOWDALE RD City Zip Code County Parcel Number EDMONDS 98026 00513300005003 Associated Building Permit Number Tenant Name BLD2024-0535 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Eric & Cheryl Malone Number Street Apartment or Suite Number 16123 N MEADOWDALE ROAD 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: 7/8/2024 Submitted By: James Duffield Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1513944 - Malone Project Contact Company Name: CopperWorks Plumbing Name: James Duffield Email: copperworksplumbingllc@gmail.com Address: 5714 Parkview Ln Phone #: (206) 914-2085 Everett WA 98203 Project Type Single Family Residential Activity Type Repair or Replacement Scope of Work Plumbing Project Name: Malone Description of Work: Moving plumbing for 2 sinks, 1 toilet, switching stand up shower to tub/shower combo, and adding clothes washer, Project Details Fixtures Clothes Washer 1 Hose Bib 1 Shower, Tub or Combo 1 Toilet 1 Sinks Sink 2 Work Location Work Description/Location (example: 1st floor, Basement Master Bath, Garage) Existing Permits There is or will be a building permit associated with this work at the project location. Page 2 of 2