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BLD2024-0899_Application_7.10.2024_3.44.50_PM_4369016CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1515665 - Master bathroom remodel Applicant First Name Last Name Company Name JD Stollwerck Stollwerck Plumbing & Sewer Number Street Apartment or Suite Number E-mail Address 806 5th Street A jd@stollwerckplumbing.com City State Zip Phone Number Extension Mukilteo WA 98275 (425) 374-3909 Contractor Company Name Stollwerck Plumbing LLC Number Street Apartment or Suite Number 3906 68th Dr NE City State Zip Phone Number Extension Marysville WA 98270 (206) 302-8382 State License Number License Expiration Date UBI # E-mail Address STOLLPL780CJ 2/28/2026 Fn.'19n 31 D4 jd@stollwerckplumbing.com Project Location Number Street Floor Number Suite or Room Number 8629 200TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27041900207900 Associated Building Permit Number Tenant Name BLD2024-0641 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Lansing P & Jennifer W Jones Number Street Apartment or Suite Number 8629 200 ST SW 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: 7/10/2024 Submitted By: JD Stollwerck Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1515665 - Master bathroom remodel Project Contact Company Name: Stollwerck Plumbing & Sewer Name: JD Stollwerck Email: jd@stollwerckplumbing.com Address: 806 5th Street A Phone #: (425) 374-3909 Mukilteo WA 98275 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Plumbing Project Name: Master bathroom remodel Description of Work: Replacing shower pan and tub in like for like configuration Project Details Scope of Work Like for like equipment in the same location Fixtures Shower, Tub or Combo 2 Work Location Work Description/Location (example: 1 st floor, Master bathroom 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