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BLD2025-0193_Application_2.8.2025_3.48.33_PM_4752708CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1611644 - Lewis Renovation Applicant First Name Last Name Company Name Joseph Lewis Number Street Apartment or Suite Number E-mail Address 20710 86th PI W jopus7@gmail.com City State Zip Phone Number Extension Edmonds WA 98026-6617 (425) 417-2751 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 20710 86TH PL W City Zip Code County Parcel Number EDMONDS 98026 00544600001300 Associated Building Permit Number Tenant Name BLD20224-1465 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Joseph P & Janet O Lewis Number Street Apartment or Suite Number 20710 86TH PL 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: 2/8/2025 Submitted By: Joseph Lewis Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1611644 - Lewis Renovation Project Contact Company Name: Name: Joseph Lewis Address: 20710 86th PI W Edmonds WA 98026-6617 Project Type Single Family Residential Email: jopus7@gmail.com Phone #: (425) 417-2751 Activity Type Scope of Work New Plumbing Project Name: Lewis Renovation Description of Work: Renovation of main floor of residence. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Dishwasher Hose Bib Ice Maker Shower, Tub or Combo Toilet Sinks Sink Piping Gas Piping Outlets - Plum Water Supply Piping 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 2 1 2 2 2 1 1 st floor Page 2 of 2