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Application_933977CITY OF EDMONDS M BuildingPermit.com Plumbing Application #933977 Applicant First Name Last Name Company Name Timm Bischoff Number Street Apartment or Suite Number E-mail Address 23405 92nd Ave W timmbischoff@yahoo.com City State Zip Phone Number Extension Edmonds WA 98020 7272396968 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 23405 92ND AVE W City Zip Code County Parcel Number EDMONDS 98020 00555300100503 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 Timm K & Ashley M Bischoff Number Street Apartment or Suite Number 23405 92ND AVE W 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, 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: 3/11/2021 Submitted By: Timm Bischoff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #933977 Project Type Activity Type Scope of Work Single Family Residential Alteration Plumbing Project Details Drains Floor Drain 1 Fixtures Shower, Tub or Combo 1 Toilet 1 Sinks Sink 1 Piping Piping - Water Service Systems Grey Water System Work Location Work Description/Location (example: 1 st floor, Add shower drain to existing floor drain (concrete Master Bath, Garage) removal) to have usable second bathroom. Page 2 of 2