Application_2021-0721CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #969027
Applicant
First Name Last Name Company Name
Ron Tosh
Number Street Apartment or Suite Number E-mail Address
641 Hemlock Way tubman@tubstogo.com
City State Zip Phone Number Extension
Edmonds WA 98020 4255089478
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
641 HEMLOCK WAY
City Zip Code County Parcel Number
EDMONDS 98020 00610900000400
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
Connie Winings
Number Street Apartment or Suite Number
641 HEMLOCK WAY
City State Zip
EDMONDS WA 98020-4025
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: 5/26/2021 Submitted By: Ron Tosh
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #969027
Project Type
Single Family Residential
Project Details
Piping
Piping - Water Service
Water Supply Piping
Work Location
Activity Type
Repair or Replacement
Work Description/Location (example: 1 st floor, Front yard
Master Bath, Garage)
Scope of Work
Plumbing
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