Application_2021-1278CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1019554
Applicant
First Name
Alexander
Last Name Company Name
Visser Prima Plumbing
Number Street
903 NW 50th St
Apartment or Suite Number E-mail Address
staff@primaplumbingnw.com
City State
Seattle WA
Zip Phone Number Extension
98107 2067060300
Contractor
Company Name
Prima Plumbing
Number Street
903 NW 50th St
Apartment or Suite Number
City
Seattle
State Zip Phone Number Extension
WA 98107 (206) 706-0300
State License Number
PRIMAP*004J4
License Expiration Date UBI # E-mail Address
4/18/2023 RDgD9g97R staff@primaplumbingnw.com
Project Location
Number Street
22050 99TH PL W
Floor Number Suite or Room Number
City
EDMONDS
Zip Code County Parcel Number
98020 00602100100700
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Matt and Bethany
Last Name or Company Name
Hart and Childress
Number Street
22050 99th PI W
Apartment or Suite Number
City
Edmonds
State Zip
WA 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: 9/14/2021 Submitted By: Alexander Visser
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1019554
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Fixtures
Shower, Tub or Combo
Toilet
Sinks
Sink
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
2
1
2
Scope of Work
Plumbing
Master Bathroom Remodel - 1 toilet, 2 lav sinks, 1
soaker tub and 1 shower.
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