BLD2022-0162_Application_2.7.2022_1.11.15_PM_2666139CITY OF EDMONDS M BuildingPermitxom
Plumbing Application #1088745 - STELLA
Applicant
First Name Last Name Company Name
gregory besancon NW Bathworks
Number Street Apartment or Suite Number E-mail Address
18821 11th ave ne nwbathworks@gmail.com
City State Zip Phone Number Extension
Arlington WA 98223 (360)572-9308
Contractor
Company Name
NW BATHWORKS LLC
Number Street Apartment or Suite Number
18821 11TH AVE NE
City State Zip Phone Number Extension
ARLINGTON WA 98223 4254189545
State License Number License Expiration Date UBI # E-mail Address
NWBATBL855PA 10/7/2023 BD.'15'1747D nwbathworks@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
21105 80TH AVE W 102
City Zip Code County Parcel Number
EDMONDS 98026 00660400010200
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
Stella Krystyne
Number Street Apartment or Suite Number
21105 80TH AVE W 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: 2/7/2022 Submitted By: gregory besancon
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1088745 - STELLA
Project Contact
Company Name: NW Bathworks
Name: gregory besancon Email: nwbathworks@gmail.com
Address: 18821 11th ave ne Phone #: (360)572-9308
Arlington WA 98223
Project Type Activity Type Scope of Work
Single Family Condominium Unit Repair or Replacement Plumbing
Project Name: STELLA
Description of Work: REPLACE WATER HEATER
Project Details
Scope of Work
Like for like equipment in the same location
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Additional Project Information
Total number of fixtures being added or altered 1
Work Location
Work Description/Location (example: 1st floor, CLOSET
Master Bath, Garage)
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