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BLD2025-0349_Application_3.12.2025_9.30.06_AM_4805949CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1625273 - #304 BATHROOM Applicant First Name Last Name Company Name Jon Chafe REIGN CITY CONTRACTORS Number Street Apartment or Suite Number E-mail Address 3509 NE 192ND PL Info@Reigncitycontractors.com City State Zip Phone Number Extension Lake Forest Park WA 98155 (425) 417-8708 Contractor Company Name REIGN CITY CONTRACTORS Number Street Apartment or Suite Number 3509 NE 192nd PI City State Zip Phone Number Extension Lake Forest Park WA 98155 (425) 417-8708 State License Number License Expiration Date UBI # E-mail Address REIGNCC795RA 12/3/2025 FD4RDF143 Info@Reigncitycontractors.com Project Location Number Street Floor Number Suite or Room Number 65 PINE ST 304 City Zip Code County Parcel Number EDMONDS 98020 01022606530400 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 Frank H & Mary M Montgomery Number Street Apartment or Suite Number 65 PINE ST 304 City State Zip EDMONDS WA 98020 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: 3/12/2025 Submitted By: Jon Chafe Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1625273 - #304 BATHROOM Project Contact Company Name: REIGN CITY CONTRACTORS Name: Jon Chafe Email: Info@Reigncitycontractors.com Address: 3509 NE 192ND PL Phone #: (425) 417-8708 Lake Forest Park WA 98155 Project Type Activity Type Scope of Work Single Family Condominium Unit Repair or Replacement Plumbing Project Name: #304 BATHROOM Description of Work: Remove and eliminate Existing tub. Remove existing Shower, move drain location less the 1' Install new Shower valve, rainhead and handheld. Project Details Scope of Work Plumbing Fixtures Per Plans Associated Building Permit? There is no other onsite work that requires a building permit. Additional Project Information Total number of fixtures being added or altered 2 Work Location Work Description/Location (example: 1 st floor, Master Bathroom Master Bath, Garage) Page 2 of 2