BLD2022-0958_Application_7.18.2022_5.16.24_PM_2996919CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1175005 - Smith Remodel
Applicant
First Name Last Name Company Name
maureen robertson Lakeside Plumbing & Heating, Inc.
Number Street Apartment or Suite Number E-mail Address
17104 33rd Ave. N.E. PO Box 65266 lakesideph@comcast.net
City State Zip Phone Number Extension
Seattle WA 98155 (206) 363-4513
Contractor
Company Name
LAKESIDE PLUMBING & HTG INC
Number Street Apartment or Suite Number
17104 33rd Ave. N.E. PO Box 65266
City State Zip Phone Number Extension
Seattle WA 98155 206-363-4513
State License Number License Expiration Date UBI # E-mail Address
LAKESPH797OZ 8/31/2023 FDgDR9777 lakesideph@comcast.net
Project Location
Number Street Floor Number Suite or Room Number
21412 98TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 27032500104700
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
Jennifer & Gregory Smith
Number Street Apartment or Suite Number
21412 98TH AVE E
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: 7/18/2022 Submitted By: maureen robertson
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1175005 - Smith Remodel
Project Contact
Company Name: Lakeside Plumbing & Heating,
Inc.
Name: maureen robertson Email: lakesideph@comcast.net
Address: 17104 33rd Ave. N.E. PO Box Phone #: (206) 363-4513
65266
Seattle WA 98155
Project Type
Single Family Residential
Activity Type
Alteration
Scope of Work
Plumbing
Project Name: Smith Remodel
Description of Work: Remodel of kitchen, two bathrooms, laundry and installation of a tankless hot
water heater.
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Clothes Washer
Dishwasher
Ice Maker
Pressure Reducing Valve - Plum
Shower, Tub or Combo
Toilet
Water Heater - Tankless
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
1
2
1
3
Plumbing work throughout the house including garage,
bathrooms, and kitchen.
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