BLD2021-1325+Application+9.28.2021_9.53.24_AM+2432133RECEIVED BLD2021-1325
Sep 28 2021 de,
CITY OF EDMONDS CITY OF EDMONDS MyBuildingPermit.com
DEVELOPMENT SERVICES
DEPARTMENT
Plumbing Application #1003950 - Virginia Mason Edmonds
Applicant
First Name Last Name Company Name
Tasia Keane Enviromech
Number Street Apartment or Suite Number E-mail Address
430 SW 153rd St tasiak(D_enviromech.com
City State Zip Phone Number Extension
Burien WA 98166 2067621960
Contractor
Company Name
Enviromech
Number Street Apartment or Suite Number
430 SW 153rd St
City State Zip Phone Number Extension
Burien WA 98166 2067621960
State License Number License Expiration Date UBI # E-mail Address
ENVIR**951 PP 10/17/2021 601354268 leffr(a)_enviromech.com
Project Location
Number Street Floor Number Suite or Room Number
7315 212TH ST SW 2 207
City Zip Code County Parcel Number
EDMONDS 98026 00566900500600
Associated Building Permit Number Tenant Name
Virginia Mason Edmonds
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
* GAHC4 EDMONDS WA MOB LLC
Number Street Apartment or Suite Number
18191 VON KARMAN AVE
City State Zip
IRVINE CA 92612
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: 9/28/2021 Submitted By: Tasia Keane
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CITY OF EDMONDS Mysu;laingPerrnit.com
Plumbing Application #1003950 - Virginia Mason Edmonds
Project Contact
Company Name:
Name: Jeff Reindel Email: jeffr@enviromech.com
Address: 430 SW 153rd St Phone #: 2067621960
Burien WA 98166
Project Type Activity Type
Nonresidential Alteration
Project Name: Virginia Mason Edmonds
Description of Work: Rough -in and hookup (1) sink and faucet
Project Details
Type of Use
Work does NOT have med gas, commercial kitchen,
food svc, lab, medical, or dental use.
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Work Location
Work Description/Location (example: 1 st floor, Suite 207
Master Bath, Garage)
Scope of Work
Plumbing
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