BLD2022-0611_Application_5.10.2022_10.46.32_AM_2859163CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1139968 - Lander
Applicant
First Name Last Name Company Name
Heath Shockman A -List Plumbing
Number Street Apartment or Suite Number E-mail Address
21133 22nd Ave W heath@alistplumbing.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (206)734-8444
Contractor
Company Name
A - LIST PLUMBING
Number Street Apartment or Suite Number
21133 22ND AVE W
City State Zip Phone Number Extension
LYNNWOOD WA 98036 (206)734-8444
State License Number License Expiration Date UBI # E-mail Address
LISTPLP783DB 2/22/2024 BD45'i1746 heath@alistplumbing.com
Project Location
Number Street Floor Number Suite or Room Number
1204 VIEWLAND WAY
City Zip Code County Parcel Number
EDMONDS 98020 00729500001100
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
Lynn M & James M Landers
Number Street Apartment or Suite Number
1204 VIEWLAND WAY
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: 5/10/2022 Submitted By: Heath Shockman
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1139968 - Lander
Project Contact
Company Name: A -List Plumbing
Name: Heath Shockman Email: heath@alistplumbing.com
Address: 21133 22nd Ave W Phone #: (206)734-8444
Lynnwood WA 98036
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Name: Lander
Description of Work: Master bath plumbing
Project Details
Scope of Work
Like for like equipment in the same location
Fixtures
Shower, Tub or Combo 2
Toilet 1
Sinks
Sink 2
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: 1 st floor, Master bathroom
Master Bath, Garage)
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