BLD2021-0191+Application+2.2.2021_3.38.08_PM+2026336CITY OF EDMONDS M BtaildingPermit.com
Plumbing Application
#917046 - Edmonds Library Water Fountain Replacement
Applicant
First Name
Last Name Company Name
Connie
Hardin Holaday-Parks Inc.
Number Street
Apartment or Suite Number E-mail Address
4600 S. 134th Pl.
con nieh(D_holadayparks.com
City State
Zip Phone Number Extension
Seattle WA
98168 (206) 250-4530
Contractor
Company Name
HOLADAY PARKS INC
Number Street
Apartment or Suite Number
4600 S. 134th PI.
City
State Zip Phone Number Extension
Seattle
WA 98168 (206) 250-4530
State License Number
License Expiration Date UBI # E-mail Address
HOLADPI379NO
9/3/2021 578004089 connieh(a_holadayparks.com
Project Location
Number Street
Floor Number Suite or Room Number
650 MAIN ST
1 none
City
Zip Code County Parcel Number
EDMONDS
98020 00434209701100
Associated Building Permit Number
Tenant Name
Edmonds Library
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
EDMONDS SCHOOL DIST 15
Number Street Apartment or Suite Number
20420 68TH AVE W
City State Zip
LYNNWOOD WA 98036-7405
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: 2/2/2021 Submitted By: Connie Hardin
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CITY OF EDMONDS MyBuildingPermft.com
Plumbing Application #917046 - Edmonds Library Water Fountain Replacement
Project Contact
Company Name: Holaday-Parks Inc
Name: Connie Hardin Email: connieh@holadayparks.com
Address: 4600 S. 134th PI. Phone #: (206) 250-4530
Seattle WA 98168
Project Type Activity Type Scope of Work
Nonresidential Repair or Replacement Plumbing
Project Name: Edmonds Library Water Fountain Replacement
Description of Work: Replacing water fountain with ADA compliant fountain/bottle filler.
Project Details
Scope of Work
Like for like equipment in the same location
Type of Use
Work does NOT have med gas, commercial kitchen,
food svc, lab, medical, or dental use.
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 1
Work Location
Work Description/Location (example: 1 st floor, Replacing 1 water fountain with water fountain/bottle
Master Bath, Garage) filler at Edmonds Library. 1 st floor. ADA compliant, see
attached specs.
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