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BLD2025-0030_Application_1.9.2025_9.14.37_AM_4703470CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1598924 - Ainsley Master Bath Applicant First Name Last Name Company Name Shayli Sutton The Plumbing Physician Number Street Apartment or Suite Number E-mail Address PO Box 2213 plumbphy@aol.com City State Zip Phone Number Extension Lynnwood WA 98036 (425) 771-6200 Contractor Company Name THE PLUMBING PHYSICIAN LLC Number Street Apartment or Suite Number PO Box 2213 City State Zip Phone Number Extension Lynnwood WA 98036 (425) 771-6200 State License Number License Expiration Date UBI # E-mail Address PLUMBPP767B4 2/7/2026 FD5'l75648 plumbphy@aol.com Project Location Number Street Floor Number Suite or Room Number 16008 70TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00513100004900 Associated Building Permit Number Tenant Name BLD2024-1180 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Alexander L & Baylock Ainsley E J Ainsley Number Street Apartment or Suite Number 16008 70TH AVE W City State Zip EDMONDS WA 98026 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: 1/9/2025 Submitted By: Shayli Sutton Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1598924 - Ainsley Master Bath Project Contact Company The Plumbing Name: Physician Name: Brad Sutton Address: PO Box 2213 Lynnwood WA 98036 Project Type Single Family Residential Email: administration@theplumbingphysician.com Phone #: (425) 771-6200 Activity Type Repair or Replacement Project Name: Ainsley Master Bath Description of Work: Remove/replace fixtures for bathroom remodel Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Shower, Tub or Combo Toilet Sinks Sink 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. 2 1 6 Main floor - master bath Scope of Work Plumbing Page 2 of 2