Application_990921CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #990921
Applicant
First Name Last Name Company Name
Greta Visser Prima Plumbing
Number Street Apartment or Suite Number E-mail Address
903 NW 50th St staff@primaplumbingnw.com
City State Zip Phone Number Extension
Seattle WA 98107 2067060300
Contractor
Company Name
Prima Plumbing
Number Street Apartment or Suite Number
903 NW 50th St
City State Zip Phone Number Extension
Seattle WA 98107 (206) 706-0300
State License Number License Expiration Date UBI # E-mail Address
PRIMAP*004J4 4/18/2023 RDgD9g97R staff@primaplumbingnw.com
Project Location
Number Street Floor Number Suite or Room Number
22050 99TH PL W
City Zip Code County Parcel Number
EDMONDS 98020 00602100100700
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
Delores Marvonek
Number Street Apartment or Suite Number
5327 101 ST ST SW
City State Zip
MUKILTEO WA 98275-4307
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: 7/14/2021 Submitted By: Greta Visser
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #990921
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Details
Fixtures
Clothes Washer 1
Dishwasher 1
Shower, Tub or Combo 1
Water Heater - Gas Mechanical 1
Sinks
Sink 1
Other
pot filler 1
Work Location
Work Description/Location (example: 1 st floor, Kitchen sink, dishwasher and pot filler above stove.
Master Bath, Garage) Bathroom tub -shower combo. Laundry room laundry
box and gas water heater.
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