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Application_1619046CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1619046 Applicant First Name Last Name Heath Shockman Company Name A -List Plumbing LLC Number Street 19505 24 Apartment or Suite Number E-mail Address STE 104 admin@alistplumbing.com City State Zip Lynwood WA 98036 Phone Number Extension (206) 734-8444 Contractor Company Name A -List Plumbing LLC Number Street 19505 24th ave w STE 104 Apartment or Suite Number City State Zip LYNNWOOD WA 98036 Phone Number Extension (206) 734-8444 State License Number License Expiration Date LISTPPL774Q8 12/18/2025 UBI # E-mail Address FD4g79F;97 admin@alistplumbing.com Project Location Number Street 8928 179TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00459000001200 Associated Building Permit Number bathrooms remodel Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Paul William & Asgarian Aimee Reich Number Street 8928 179TH PL SOUTHWEST Apartment or Suite Number City State EDMONDS WA Zip 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 2/26/2025 Submitted By: Heath Shockman Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1619046 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Fixtures Shower, Tub or Combo 4 Toilet 4 Sinks Sink 5 Work Location Work Description/Location (example: 1st floor, bathrooms Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Scope of Work Plumbing Page 2 of 2