BLD2022-0820+Application+6.23.2022_8.05.37_AM+2944692CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1161704 - Dominguez Bathroom
Applicant
First Name Last Name Company Name
Selena Fitch Fitch & Company
Number Street Apartment or Suite Number E-mail Address
128118 8TH Ave W B205 selena@fitchdesigncompany.com
City State Zip Phone Number Extension
Everett WA 98204 (425) 481-8190
Contractor
Company Name
Contractor Unknown
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
6924 176TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00513100015411
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
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: 6/23/2022 Submitted By: Selena Fitch
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #1161704 - Dominguez Bathroom
Project Contact
Company Name: Fitch & Company
Name: Selena Fitch Email: selena@fitchdesigncompany.com
Address: 128118 8TH Ave W Phone #: (425) 481-8190
B205
Everett WA 98204
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: Dominguez Bathroom
Description of Work: Bathroom remodel. Not affecting any structural walls.
Project Details
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
Plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address
Bathroom remodel
$40,000
catdomingue@gmail.com
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