BLD2022-0311_Application_3.10.2022_4.14.35_PM_2731074CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1105875 - Remove broken pipe & cap
Applicant
First Name Last Name Company Name
Donna Coates Parkview Firs Condominiums
Number Street Apartment or Suite Number E-mail Address
8421 Main Street bodpvf@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 6502451768
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
8515 MAIN ST 102
City Zip Code County Parcel Number
EDMONDS 98026 00647400110200
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
Bob De Dea
Number Street Apartment or Suite Number
8515 MAIN ST 102
City State Zip
EDMONDS WA 98026
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: 3/10/2022 Submitted By: Donna Coates
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1105875 - Remove broken pipe & cap
Project Contact
Company Name: Parkview Firs Condominiums
Name: Donna Coates Email: bodpvf@gmail.com
Address: 8421 Main Street Phone #: 6502451768
Edmonds WA 98026
Project Type
Multifamily Residential
Activity Type
Repair or Replacement
Scope of Work
Plumbing
Project Name: Remove broken pipe & cap
Description of Work: Removed pipe cracked during late December freeze, undetected until January
18, 2022
Project Details
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Additional Project Information
Total number of fixtures being added or altered 1
Work Location
Work Description/Location (example: 1 st floor, Back wall of Utility shed
Master Bath, Garage)
Work to be performed by a licensed contractor
Yes
Page 2 of 2