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BLD2025-0173_Application_2.4.2025_8.35.36_PM_4746213CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1610045 - Addition/Remodel Applicant First Name Last Name Company Name Khoa Ha JJ Construction Number Street Apartment or Suite Number E-mail Address 14206 29th ave se khoa.ha628@gmail.com City State Zip Phone Number Extension Mill Creek WA 98012 (206) 235-0854 Contractor Company Name JJ CONSTRUCTION/HOME SLTNS LLC Number Street Apartment or Suite Number PO BOX 148 City State Zip Phone Number Extension LYNNWOOD WA 98046 (206) 235-0854 State License Number License Expiration Date UBI # E-mail Address JJCONCS793B2 1/25/2027 FD4BR1159 khoa.ha628@gmail.com Project Location Number Street Floor Number Suite or Room Number 21416 90TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00560900000300 Associated Building Permit Number Tenant Name BLD2024-0330 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Martha & Sholten Bruce Young-Scholten Number Street Apartment or Suite Number 21416 90TH 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: 2/4/2025 Submitted By: Khoa Ha Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1610045 - Addition/Remodel Project Contact Company Name: Ji LLC Construction & Home Solutions Name: Khoa Ha Email: khoa.ha628@gmail.com Address: PO Box 148 Phone #: (206) 235-0854 Lynnwood WA 98046 Project Type Single Family Residential Activity Type Scope of Work New Plumbing Project Name: Addition/Remodel Description of Work: build out 320 sqf addition with full bath Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Hose Bib 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. 1 1 1 2 21416 90th AVE W, Edmonds WA 98026 Page 2 of 2