BLD2022-0568_Application_5.4.2022_2.50.01_PM_2847546CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1137113 - Moats addition
Applicant
First Name Last Name Company Name
Jeffrey Moats
Number Street Apartment or Suite Number E-mail Address
9015 218th St SW jmoats5@netzero.com
City State Zip Phone Number Extension
Edmonds WA 98026 2067903800
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
9015 218TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 27043000205700
Associated Building Permit Number Tenant Name
BLD22-0329
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Jeff Moats
Number Street Apartment or Suite Number
9015 218th Street Southwest
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: 5/4/2022 Submitted By: Jeffrey Moats
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1137113 - Moats addition
Project Contact
Company Name:
Name:
Address:
Jeffrey Moats
9015 218th St SW
Edmonds WA 98026
Project Type
Single Family Residential
Email: jmoats5@netzero.com
Phone #: 2067903800
Activity Type Scope of Work
New Plumbing
Project Name: Moats addition
Description of Work: Plumbing for laundry room in a one story addition
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Clothes Washer
Hose Bib
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 st floor laundry room addition
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