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BLD2024-0080_Application_1.17.2024_5.21.26_PM_4005646CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1429918 - Edmond Remodeling Applicant First Name Last Name Company Name Frank Song Sixstarlllp Number Street Apartment or Suite Number E-mail Address 19411 56th Ave W tmshin76@gmail.com City State Zip Phone Number Extension Lynnwood WA 98036 (206) 288-9747 Contractor Company Name NIRVANA MECHANICAL LLC Number Street Apartment or Suite Number 10922 NE 34thpl 1 City State Zip Phone Number Extension BELLEVUE WA 98004 (206) 476-3304 State License Number License Expiration Date UBI # E-mail Address NIRVAML787BQ 1/4/2026 RD4DR55g7 tmshin76@gmail.com Project Location Number Street Floor Number Suite or Room Number 17727 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00513600002203 Associated Building Permit Number Tenant Name BLD 2023-1415 SONG Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name SIX STAR LLLP Number Street Apartment or Suite Number 19411 56TH AVE W 317 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: 1/17/2024 Submitted By: Frank Song Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1429918 - Edmond Remodeling Project Contact Company Name: Sixstarlllp Name: Frank Song Email: tmshin76@gmail.com Address: 19411 56th Ave W Phone #: (206) 288-9747 Lynnwood WA 98036 Project Type Single Family Residential Activity Type Alteration Project Name: Edmond Remodeling Description of Work: Plumbing related Remodeling project Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Shower, Tub or Combo Toilet Sinks Sink 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. 2 3 4 2 Scope of Work Plumbing basement toilet 2 main floor toilet 2 main floor kitchen 1 basement kitchen sink 1 main floor shower 1 basement shower 1 main floor bathtub 1 main floor laundry 1 basement laundry 1 Page 2 of 2