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BLD2024-1101_Application_8.23.2024_1.35.19_PM_4459590CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1537400 - DADU Applicant First Name Last Name Company Name Margo Henson Number Street Apartment or Suite Number E-mail Address 7019 14th Ave NW margo@marketappraisalinc.com City State Zip Phone Number Extension Seattle WA 98117 (206) 784-6627 Contractor Company Name Frost Plumbing Number Street Apartment or Suite Number 6107 195th ave s.e. City State Zip Phone Number Extension Snohomish WA 98290 (360) 563-9839 State License Number License Expiration Date UBI # E-mail Address FROSTP*796RM 1/11/2026 FD1 ,iR:i41 ,1 margo@marketappraisalinc.com Project Location Number Street Floor Number Suite or Room Number 23620 79TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00424400000501 Associated Building Permit Number Tenant Name BLDG 2024-0268 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Margo Henson Number Street Apartment or Suite Number 7019 14th Ave NW City State Zip Seattle WA 98117 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: 8/23/2024 Submitted By: Margo Henson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1537400 - DADU Project Contact Company Name: Name: Margo Henson Email: margo@marketappraisalinc.com Address: 7019 14th Ave NW Phone #: (206) 784-6627 Seattle WA 98117 Project Type Activity Type Scope of Work Single Family Residential New Plumbing Project Name: DADU Description of Work: convert garage to a living unit Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer 1 Dishwasher 1 Shower, Tub or Combo 1 Toilet 1 Hot Water Heater 1 Sinks Sink 2 Piping Back Flow Preventer 1 Piping - Water Service Water Supply Piping 1 Other hose bibs 2 Work Location Work Description/Location (example: 1 st floor, 23620 79th Ave W 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