Application_1012065CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1012065
Applicant
First Name Last Name
dana thomas
Company Name
R & D Plumbing LLC
Number Street
1911 201 st pl sw
Apartment or Suite Number E-mail Address
danathomas01 @gmail.com
City State Zip
lynnwood WA 98036
Phone Number Extension
4253464065
Contractor
Company Name
R&D PLUMBING LLC
Number Street
216 NE 174th Street
Apartment or Suite Number
City State Zip
Shoreline WA 98155
Phone Number Extension
(425) 346-4065
State License Number License Expiration Date
RDPLUPL889KB 5/30/2022
UBI # E-mail Address
BD:39D944s danathomas01 @gmail.com
Project Location
Number Street
224 SKYLINE DR
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00423000005900
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
Buell S & Cathy M Herzig
Number Street
224 SKYLINE DR
Apartment or Suite Number
City State
EDMONDS WA
Zip
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: 8/30/2021 Submitted By: dana thomas
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1012065
Project Type
Single Family Residential
Project Details
Fixtures
Ice Maker
Toilet
Sinks
Sink
Work Location
Work Description/Location (example
Master Bath, Garage)
Activity Type
Alteration
1
1
3
Scope of Work
Plumbing
1 st floor, Powder bathroom addition, add bar sink with ice maker
Page 2 of 2