BLD2022-1580_Application_11.15.2022_5.59.42_PM_3222074CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1230421 - Collins Addition
Applicant
First Name Last Name Company Name
Anthony Collins
Number Street Apartment or Suite Number E-mail Address
21821 80 Ave W acollins3@frontier.com
City State Zip Phone Number Extension
Edmonds WA 98026 (206) 437-2277
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
21821 80TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00461000201002
Associated Building Permit Number Tenant Name
bld2022-0797
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Anthony James & Amy Margrethe Collins
Number Street Apartment or Suite Number
21821 80th 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: 11/15/2022 Submitted By: Anthony Collins
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1230421 - Collins Addition
Project Contact
Company Name:
Name:
Address:
Anthony Collins
21821 80 Ave W
Edmonds WA 98026
Project Type
Single Family Residential
Email: acollins3@frontier.com
Phone #: (206) 437-2277
Activity Type Scope of Work
New Plumbing
Project Name: Collins Addition
Description of Additional space added to single family home to include a new master bathroom and
Work: bedroom, moving the kitchen into the new space, and remodelling the laundry room from
unheated garage space to interior space. HWH gets moved and upgraded in the house also.
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Clothes Washer
Dishwasher
Hose Bib
Ice Maker
Shower, Tub or Combo
Toilet
Hot Water Heater
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
1
1
4
rear of existing house -- inside the addition area to the
home. all single floor and crawlspace work
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