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BLD2024-1523_Application_11.19.2024_2.54.15_PM_4628264CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1578894 - SKYLINE - PLUMBING Applicant First Name Last Name Company Name dat nguyen Number Street Apartment or Suite Number E-mail Address 21903 43rdctw datman1@mac.com City State Zip Phone Number Extension mountlake terrace WA 98043 (206) 250-3282 Contractor Company Name ZAYATS LLC Number Street Apartment or Suite Number 116 119TH ST SE #A City State Zip Phone Number Extension EVERETT WA 98208 (425) 344-0624 State License Number License Expiration Date UBI # E-mail Address ZAYATL*844JD 6/7/2026 FDi58Ri65 datmanl@mac.com Project Location Number Street Floor Number Suite or Room Number 1225 SKYLINE DR City Zip Code County Parcel Number EDMONDS 98020 00423000004700 Associated Building Permit Number Tenant Name BLD2024-1303 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Dat & Le Kieu Nguyen Number Street Apartment or Suite Number 1225 SKYLINE DR City State Zip EDMONDS WA 98020 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: 11/19/2024 Submitted By: dat nguyen Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1578894 - SKYLINE - PLUMBING Project Contact Company Name: Name: dat nguyen Email: datman1@mac.com Address: 21903 43rd ct w Phone #: (206) 250-3282 mountlake terrace WA 98043 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: SKYLINE - PLUMBING Description of Work: PLUMBING ASSOCIATED WITH BLD2024-1303 Project Details Scope of Work Plumbing Fixtures for Building Permit Drains Floor Drain Fixtures Clothes Washer Dishwasher Hose Bib Instant Hot water Tap Shower, Tub or Combo Toilet Water Heater - Tankless Sinks Sink Piping Gas Piping Outlets - Plum Water Line Re -Pipe Piping - Water Service 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 2 2 5 1 4 4 1 E 4 Scope of Work Plumbing Re -pipe entire house per remodel. Copper to PEX. 1 1/4" water service line Page 2 of 2