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BLD2024-0734+Application+5.31.2024_2.43.03_PM+4293999CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1497219 - Mathay Ballinger Park Restroom Utility Stub -outs Applicant First Name Last Name Company Name Kyle Woods City of Edmonds, Parks and Rec Number Street Apartment or Suite Number E-mail Address 700 Main ST kyle.woods(c)_edmondswa.gov City State Zip Phone Number Extension Edmonds WA 98020 (425) 599-3847 Contractor Company Name ACCORD CONTRACTORS LLC Number Street Apartment or Suite Number 15405 SE 37th St 100 City State Zip Phone Number Extension Bellevue WA 98006 (425) 754-6759 State License Number License Expiration Date UBI # E-mail Address ACCORCL906CB 2/2/2026 602700903 ke ith (cDaccord contractors. com Project Location Number Street Floor Number Suite or Room Number 24105 78TH PL W 1 None City Zip Code County Parcel Number Edmonds 98026 27043100402800 Associated Building Permit Number Tenant Name BLD2023-1127 City of Edmonds Parks Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 250 5TH 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: 5/31/2024 Submitted By: Kyle Woods Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1497219 - Mathay Ballinger Park Restroom Utility Stub -outs Project Contact Company Name: City of Edmonds, Parks and Rec Name: Kyle Woods Email: kyle.woods@edmondswa.gov Address: 700 Main ST Phone #: (425) 599-3847 Edmonds WA 98020 Project Type Nonresidential Activity Type New Scope of Work Plumbing Project Name: Mathay Ballinger Park Restroom Utility Stub -outs Description of Work: Utility stub -outs for water, sewer, and drainage for the restroom at Mathay Ballinger Park. The utilities will be installed under a new slab foundation Project Details Scope of Work Plumbing Fixtures for Building Permit 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 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) 3 Installation of stub -outs below slab foundation of outdoor restroom at Mathay Ballinger Park. Page 2 of 2