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BLD2024-1358+Application+10.15.2024_7.42.05_AM+4559531CITY OF EDMOill MyBuildingPermit.com Plumbing Application #1561415 - Edmonds Automotive Applicant First Name Last Name Company Name Trent Moen Moen Plumbinq LLC Number Street Apartment or Suite Number E-mail Address 17515 41st St. SE trent(cDmoenplumbinq.com City State Zip Phone Number Extension Snohomish WA 98290 (425) 760-8360 Contractor Company Name MOEN PLUMBING LLC Number Street Apartment or Suite Number 17515 41 ST ST SE City State Zip Phone Number Extension SNOHOMISH WA 98290 (425) 760-8360 State License Number License Expiration Date UBI # E-mail Address MOENPPL7920A 8/27/2025 603463869 trent(aD_moenplumbinq.com Project Location Number Street Floor Number Suite or Room Number 218 3RD AVE N 1 1 City Zip Code County Parcel Number EDMONDS 98020 00434400501000 Associated Building Permit Number Tenant Name BLD2024-0935 Greq Wriqht Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Charles P Jr Verrall Number Street Apartment or Suite Number 218 3RD AVE N City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: 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. 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: 10/15/2024 Submitted By: Trent Moen Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1561415 - Edmonds Automotive Project Contact Company Name: Moen Plumbing LLC Name: Trent Moen Email: trent@moenplumbing.com Address: 17515 41st St. SE Phone #: (425) 760-8360 Snohomish WA 98290 Project Type Nonresidential Activity Type Repair or Replacement Scope of Work Plumbing Project Name: Edmonds Automotive Description of Work: Install toilet, urinal, lavatory, floor drain, hand wash sink, tankless water heater, Project Details Scope of Work Plumbing Fixtures for Building Permit Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) 7 1 st floor on south side of building Page 2 of 2