BLD2022-0704_Application_5.27.2022_12.19.44_PM_2898552CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1150035 - Gas Lines
Applicant
First Name Last Name Company Name
Angela Bahm
Number Street Apartment or Suite Number E-mail Address
20320 81stAve W angiebahm@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 232-5991
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
20320 81 ST AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00431200001302
Associated Building Permit Number Tenant Name
BLD2022-0666
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Angela Bahm
Number Street Apartment or Suite Number
20320 81 st Ave W
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: 5/27/2022 Submitted By: Angela Bahm
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CITY OF EDMONDS
Plumbing Application #1150035 - Gas Lines
Project Contact
Company Name:
Name:
Address:
Angela Bahm
20320 81 st Ave W
Edmonds WA 98026
Email: angiebahm@gmail.com
Phone #: (425) 232-5991
i
MyBuitdingPermit.com
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Name: Gas Lines
Description of Work: We are plumbing in an extension of the existing exterior line with 3 connections. One for
a hot tub, one for an outdoor fire pit and one for an outdoor grill.
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Piping
Gas Piping Outlets - Plum 3
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, Back patio
Master Bath, Garage)
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