Application_1012634CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1012634
Applicant
First Name Last Name
Elizabeth Maloney
Company Name
Eastside Accounting Pros, Inc.
Number Street
PO Box 473
Apartment or Suite Number E-mail Address
jessica@eastsideaccounting.pro
City State Zip
Duvall WA 98019
Phone Number Extension
2063911170
Contractor
Company Name
T A PLUMBING INC
Number Street
9509 204th St SE
Apartment or Suite Number
City State Zip
SNOHOMISH WA 98296
Phone Number Extension
(425) 698-9612
State License Number License Expiration Date
TPLUMP1835Q7 11/27/2021
UBI # E-mail Address
BD4186691 beth@eastsideaccounting.pro
Project Location
Number Street
6510 170TH PL SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00583500001800
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
Jeffrey & Staten Keli Palileo
Number Street
6510 170TH PL SW
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026-5213
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: 8/30/2021 Submitted By: Elizabeth Maloney
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1012634
Project Type
Single Family Residential
Project Details
Fixtures
Shower, Tub or Combo
Toilet
Sinks
Sink
Work Location
Work Description/Location (example
Master Bath, Garage)
Activity Type
Alteration
1
1
2
Scope of Work
Plumbing
1 st floor, plumbing for 2 sinks, 1 toilet, 1 shower
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