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BLD2024-0975+Application+7.26.2024_3.17.48_PM+4405167CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1511068 - HSAC Tennis Lobby Applicant First Name Last Name Company Name Nicole Marinez Mike's Plumbinq & Drain Cleaninq Number Street Apartment or Suite Number E-mail Address 21010 70th Ave W nicole(aD_mikesplumbinganddrain. com City State Zip Phone Number Extension Edmonds WA 98026-7202 (425) 775-0201 Contractor Company Name MIKES PLUMBING/DRAIN CLEANING Number Street Apartment or Suite Number 21010 70th Ave W City State Zip Phone Number Extension Edmonds WA 98026-7202 (425) 775-0201 State License Number License Expiration Date UBI # E-mail Address MIKESPD795MO 12/1/2025 602114308 nicole(cDmikesplumbinganddrain.com Project Location Number Street Floor Number Suite or Room Number 160 W DAYTON ST tennis buildinq lobby City Zip Code County Parcel Number EDMONDS 98020 27032300408800 Associated Building Permit Number Tenant Name HSAC Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PORT OF EDMONDS Number Street Apartment or Suite Number 336 ADMIRAL WAY City State Zip EDMONDS WA 98020-7214 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: 7/26/2024 Submitted By: Nicole Marinez Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1511068 - HSAC Tennis Lobby Project Contact Company Name: Mike's Plumbing & Drain Cleaning Name: Mike Marinez Email: nicole@mikesplumbinganddrain.com Address: 21010 70th Ave W Phone #: (206) 399-8685 Edmonds WA 98026-7202 Project Type Nonresidential Activity Type Repair or Replacement Project Name: HSAC Tennis Lobby Description of Work: Installation of plumbing fixtures for rehab facility Project Details Scope of Work Plumbing Fixtures Per Plans Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is no other onsite work that requires a building permit. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) 11 Tennis building lobby Scope of Work Plumbing Page 2 of 2