BLD2022-0536_Application_4.29.2022_7.52.40_AM_2835681CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1133877 - PRJ24998
Applicant
First Name Last Name Company Name
Nicole Williams Pacific Bath Company
Number Street Apartment or Suite Number E-mail Address
17880 NE Airport Way 110 permits@speconnw.com
City State Zip Phone Number Extension
portland OR 97230 9712640145
Contractor
Company Name
PACIFIC BATH COMPANY
Number Street Apartment or Suite Number
6521 SE CROSSWHITE WAY A
City State Zip Phone Number Extension
PORTLAND WA 97206 (206)565-2030 (206)565-2030
State License Number License Expiration Date UBI # E-mail Address
SPECICN793OZ 8/31/2023 FD357F144 permits@speconnw.com
Project Location
Number Street Floor Number Suite or Room Number
8231 SIERRA DR
City Zip Code County Parcel Number
EDMONDS 98026 00572500000500
Associated Building Permit Number Tenant Name
PRJ24998
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Jeanne & Torres -Miller Robert W Callahan
Number Street Apartment or Suite Number
8231 SIERRA DR
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: 4/29/2022 Submitted By: Nicole Williams
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1133877 - PRJ24998
Project Contact
Company Name: Pacific Bath Company
Name: Mike Sims Email: permits@pacificbath.com
Address: 7859 S 180th Phone #: 2065652041
Kent WA 98032
Project Type
Single Family Residential
Activity Type
Alteration
Scope of Work
Plumbing
Project Name: PRJ24998
Description of Work: Remove shower/tub combo install Walk in Shower using existing foot print and
plumbing
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Shower, Tub or Combo
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Master bath. Remove shower/tub combo install Walk in
Shower using existing foot print and plumbing
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