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Application_1587954CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1587954 Applicant First Name Last Name Josh Schofield Company Name Rebath of Seattle Number Street 402 Valley Ave NW Apartment or Suite Number E-mail Address A109 rebathseattle@gmail.com City State Zip PUYALLUP WA 98371 Phone Number Extension (206) 494-9000 Contractor Company Name RE -BATH OF SEATTLE Number Street 720 N Main St Apartment or Suite Number City State Zip MERIDIAN ID 83642 Phone Number Extension (208) 367-0900 State License Number License Expiration Date REBATS*780OZ 9/7/2026 UBI # E-mail Address FD4B 19ggn rebathseattle@gmail.com Project Location Number Street 7801 188TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00636700000900 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 Dennis A Koskey Number Street 7801 188TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 12/9/2024 Submitted By: Josh Schofield Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1587954 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Shower, Tub or Combo Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. 1 Master Bathroom Scope of Work Plumbing Page 2 of 2