BLD2022-0838_Application_6.27.2022_2.42.22_PM_2956597CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1165073 - Dominguez Bathroom Remodel
Applicant
First Name Last Name Company Name
Selena Fitch Fitch & Company
Number Street Apartment or Suite Number E-mail Address
12811 8TH Ave W A205 selena@fitchdesigncompany.com
City State Zip Phone Number Extension
Everett WA 98204 (425) 481-8190
Contractor
Company Name
PILCHUCK PLUMBING LLC
Number Street Apartment or Suite Number
15717 112TH NE
City State Zip Phone Number Extension
GRANITE FALLS WA 98252 4254715233
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
6924 176TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00513100015411
Associated Building Permit Number Tenant Name
BLD2022-0820
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Kenneth R & Dominguez Catherine A Chinn
Number Street Apartment or Suite Number
6924 176TH ST SW
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: 6/27/2022 Submitted By: Selena Fitch
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1165073 - Dominguez Bathroom Remodel
Project Contact
Company Name: Fitch & Company
Name: Selena Fitch Email: selena@fitchdesigncompany.com
Address: 12811 8TH Ave W Phone #: (425) 481-8190
A205
Everett WA 98204
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Name: Dominguez Bathroom Remodel
Description of Work: Bathroom Remodel
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Drains
Floor Drain
1
Fixtures
Shower, Tub or Combo
1
Toilet
2
Sinks
Sink
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: 1st floor,
Bathroom Remodel
Master Bath, Garage)
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