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BLD2024-1399_Application_10.23.2024_11.15.55_AM_4576594CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1565998 - ADU addition Applicant First Name Last Name Company Name Gary Prokash Gary Prokash Plumbing & Fire Sprinkler, Inc. Number Street Apartment or Suite Number E-mail Address 8731 Maltby Road Suite 2 gpplumbing@msn.com City State Zip Phone Number Extension Snohomish WA 98296 (425) 483-6827 Contractor Company Name GARY PROKASH PLBG/FIRESPKL INC Number Street Apartment or Suite Number 8731 Maltby Road Suite 2 City State Zip Phone Number Extension Snohomish WA 98296 (425) 483-6827 State License Number License Expiration Date UBI # E-mail Address GARYPPP798MF 7/19/2025 BDi,D.171S gary@prokashplumbing.com Project Location Number Street Floor Number Suite or Room Number 8619 184TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00599400000300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Maria A & Crook Molly L Sixto Number Street Apartment or Suite Number 8619 184TH 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: 10/23/2024 Submitted By: Gary Prokash Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1565998 - ADU addition Project Contact Company Name: Gary Prokash Plumbing & Fire Sprinkler, Inc. Name: Gary Prokash Email: gpplumbing@msn.com Address: 8731 Maltby Road Suite 2 Phone #: (425) 483-6827 Snohomish WA 98296 Project Type Single Family Residential Activity Type Scope of Work New Plumbing Project Name: ADU addition Description of Work: Rough -in & trim out of 2 bathrooms & kitchen Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Dishwasher Hose Bib Ice Maker Shower, Tub or Combo Toilet Water Heater - Tankless Sinks Sink Other indirect drain 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. 1 1 1 1 1 2 1 4 1 ADU addition Page 2 of 2