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BLD2025-0344_Application_3.11.2025_9.32.13_PM_4805442CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1625139 - SUBCLEFF CUSTOM RESIDENCE Applicant First Name Last Name Company Name Austin Richbourg NW Custom Plumbing LLC Number Street Apartment or Suite Number E-mail Address 17146 britt rd austinrichbourg1@gmail.com City State Zip Phone Number Extension Mount Vernon WA 98273 (425) 377-5354 Contractor Company Name NW Custom Plumbing LLC Number Street Apartment or Suite Number 3405 172nd st ne 5-158 City State Zip Phone Number Extension Arlington WA 98223 (425) 377-5354 (206) 660-7442 State License Number License Expiration Date UBI # E-mail Address NWCUSCP791RM 1/24/2026 FD337.1451 austinrichbourg1@gmail.com Project Location Number Street Floor Number Suite or Room Number 8908 189TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00728600000300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Douglas H Subcleff Number Street Apartment or Suite Number 8816 189TH PL SW 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: 3/11/2025 Submitted By: Austin Richbourg Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1625139 - SUBCLEFF CUSTOM RESIDENCE Project Contact Company Name: NW Custom Plumbing LLC Name: Austin Richbourg Email: austinrichbourg1@gmail.com Address: 17146 britt rd Phone #: (425) 377-5354 Mount Vernon WA 98273 Project Type Single Family Residential Activity Type Scope of Work New Plumbing Project Name: SUBCLEFF CUSTOM RESIDENCE Description of This is a new construction single family residence that we, NW Custom Plumbing LLC, will Work: be installing new plumbing drains and waterlines on the lower, mid and top level of this 3-story house. Project Details Scope of Work Plumbing Fixtures for Building Permit Fixtures Clothes Washer Dishwasher Hose Bib Ice Maker Shower, Tub or Combo Toilet Water Heater - Tankless Sinks Sink Piping Piping - Water Service 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 2 3 4 2 L-V 1 This is a New construction single family residence that we, NW Custom Plumbing LLC, will be installing new plumbing drains and waterlines at on the lower, mid, and top floor of this 3-story house. Page 2 of 2