BLD2021-1396_Application_10.8.2021_2.37.58_PM_2453185CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1032232 - New Shower
Applicant
First Name Last Name Company Name
Claudia Williams
Number Street Apartment or Suite Number E-mail Address
1130 5th Ave S 204 pmgacc@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 2069208946
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
1130 5TH AVE S 204
City Zip Code County Parcel Number
EDMONDS 98020 00691200120400
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
Claudia G Williams
Number Street Apartment or Suite Number
1130 5TH AVE S 204
City State Zip
EDMONDS WA 98020-4667
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: 10/8/2021 Submitted By: Claudia Williams
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1032232 - New Shower
Project Contact
Company Name:
Name: Claudia Williams Email: pmgacc@gmail.com
Address: 1130 5th Ave S 204 Phone #: 2069208946
Edmonds WA 98020
Project Type Activity Type Scope of Work
Single Family Condominium Unit Repair or Replacement Plumbing
Project Name: New Shower
Description of Work: Tiling shower surround, tiling floor, possibly replacing shower pan and shower
valve
Project Details
Scope of Work
Like for like equipment in the same location
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
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Master Bath retiling, possible new shower pan, possible
valve replacement
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