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BLD2024-1650_Application_12.17.2024_6.50.36_PM_4675558CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1591728 - Catalynt Collective Applicant First Name Last Name Company Name Zoran Radic Adriatic Plumbing, Inc. Number Street Apartment or Suite Number E-mail Address 19211 Meridian PL W adriaticplumbing@hotmail.com City State Zip Phone Number Extension Bothell WA 98012 (206) 999-0707 Contractor Company Name ADRIATIC PLUMBING INC Number Street Apartment or Suite Number 19211 Meridian PL W City State Zip Phone Number Extension Bothell WA 98012 (206) 999-0707 State License Number License Expiration Date UBI # E-mail Address ADRIAP1793RM 1 /5/2026 BDggsi4D7D adriaticplumbing@hotmail.com Project Location Number Street Floor Number Suite or Room Number 22817 102ND PL W 2 105 City Zip Code County Parcel Number EDMONDS 98020 00610700202001 Associated Building Permit Number Tenant Name bLD2024-1401 Catalynt Collective Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name BRW ENTERPRISES LLC Number Street Apartment or Suite Number 22817 102ND PL W 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: 12/17/2024 Submitted By: Zoran Radic Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1591728 - Catalynt Collective Project Contact Company Name: Adriatic Plumbing, Inc. Name: Zoran Radic Email: adriaticplumbing@hotmail.com Address: 19211 Meridian PL W Phone #: (206) 999-0707 Bothell WA 98012 Project Type Nonresidential Activity Type Repair or Replacement Project Name: Catalynt Collective Description of Work: Add toilet, sink and kitchenette sink 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 4 Work Location Work Description/Location (example: 1 st floor, 1 st foor Master Bath, Garage) Scope of Work Plumbing Page 2 of 2