BLD2022-0334_Application_3.16.2022_8.32.09_PM_2742907CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1102691 - Remodel - Plumbing
Applicant
First Name Last Name Company Name
Jason Duncombe
Number Street Apartment or Suite Number E-mail Address
18426 79th PI W jdduncombe@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 2062250478
Contractor
Company Name
Owner
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
18426 79TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00471000000800
Associated Building Permit Number Tenant Name
BLD2022-0076
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Jason & Nasanzuu Duncombe
Number Street Apartment or Suite Number
18426 79th PI W
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: 3/16/2022 Submitted By: Jason Duncombe
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1102691 - Remodel - Plumbing
Project Contact
Company Name:
Name:
Address:
Jason Duncombe
18426 79th PI W
Edmonds WA 98026
Project Type
Single Family Residential
Email: jdduncombe@gmail.com
Phone #: 2062250478
Activity Type
Alteration
Project Name: Remodel - Plumbing
Description of Work: Plumbing for home remodel.
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Clothes Washer
Dishwasher
Hose Bib
Ice Maker
Shower, Tub or Combo
Toilet
Hot Water Heater
Sinks
Sink
Piping
Gas Piping Outlets - Plum
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: 1st floor,
Master Bath, Garage)
1
1
1
1
2
2
1
3
2
Scope of Work
Plumbing
1 st floor bathroom/laundry room, 2nd floor kitchen and
3/4 bathroom
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