BLD2022-0146_Application_2.4.2022_10.27.56_AM_2661923CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1087562 - Bultez 2022 Remodel
Applicant
First Name Last Name Company Name
David Bultez Hargis
Number Street Apartment or Suite Number E-mail Address
19117 OLYMPIC VIEW DR david.bultez@hargis.biz
City State Zip Phone Number Extension
Edmonds WA 98020 2065793238
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
19117 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98020 00434600008101
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
David & Dana Bultez
Number Street Apartment or Suite Number
19117 OLYMPIC VIEW DR
City State Zip
EDMONDS WA 98020
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: 2/4/2022 Submitted By: David Bultez
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1087562 - Bultez 2022 Remodel
Project Contact
Company Name: Hargis
Name: David Bultez Email: david.bultez@hargis.biz
Address: 19117 OLYMPIC VIEW DR Phone #: 2065793238
Edmonds WA 98020
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Name: Bultez 2022 Remodel
Description of Work: Add toilet/sink to laundry room and install hydronic in floor heating.
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Toilet 1
Sinks
Sink 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Other
hydronic in floor heating 1
Work Location
Work Description/Location (example: 1st floor, Main level laundry room & bathroom
Master Bath, Garage)
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