Application_1089519CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1089519
Applicant
First Name Last Name
Tom Gunderson
Company Name
Gunderson Plumbing LLC
Number Street
P.O. Box 1251
Apartment or Suite Number E-mail Address
tomgundersonplumbing@gmail.com
City State Zip
Sultan WA 98294
Phone Number Extension
(360)794-5335
Contractor
Company Name
GUNDERSON PLUMBING LLC
Number Street
PO BOX 1251
Apartment or Suite Number
City State Zip
SULTAN WA 98294
Phone Number Extension
(360)794-5335
State License Number License Expiration Date
GUNDEPL782BQ 1/5/2024
UBI # E-mail Address
Bni49BBS_c, tomgundersonplumbing@gmail.com
Project Location
Number Street
115 SKYLINE DR
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00423000005500
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
Susannah Custodian Johnston
Number Street
FBO ZHOU YANGQIN
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: 2/8/2022 Submitted By: Tom Gunderson
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1089519
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Scope of Work
Like for like equipment in the same location
Piping
Piping - Water Service
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Outside
Master Bath, Garage)
Scope of Work
Plumbing
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