BLD2022-0517_Application_4.26.2022_2.00.35_PM_2828327CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1131838 - Leslie Brown Home
Applicant
First Name Last Name Company Name
Leslie Brown
Number Street Apartment or Suite Number E-mail Address
21412 96th Ave W Mtles44@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 5303867032
Contractor
Company Name
Norwest Kitchen & Remodel
Number Street Apartment or Suite Number
PO Box 5122
City State Zip Phone Number Extension
Lynnwood WA 98046 2067864339
State License Number License Expiration Date UBI # E-mail Address
NORWEKR907BM 1/14/2024 F;n9gRR:39.,i erik@norwestknr.com
Project Location
Number Street Floor Number Suite or Room Number
21412 96TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 27032500107000
Associated Building Permit Number Tenant Name
BLD2021-1480
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Leslie None
Number Street Apartment or Suite Number
21412 96th Ave W
City State Zip
EDMONDS WA 98020
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: 4/26/2022 Submitted By: Leslie Brown
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1131838 - Leslie Brown Home
Project Contact
Company Name: Norwest Kitchen and Remodel
Name: Erik Fish Email: erik@norwestknr.com
Address: PO Box 5122 Phone #: 2067864339
Lynnwood WA 98046
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Name: Leslie Brown Home
Description of Work: Remodel of main bathroom, half bathroom, and kitchen on first floor of single
story house.
Project Details
Fixtures
Clothes Washer
Dishwasher
Ice Maker
Shower, Tub or Combo
Toilet
Sinks
Sink
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
3
Kitchen, Half bathroom, main bathroom on first floor of
one story house.
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