BLD2022-1640_Application_11.30.2022_7.55.59_PM_3245612CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1236591 - beth paschal
Applicant
First Name Last Name Company Name
bobby williams word works construction
Number Street Apartment or Suite Number E-mail Address
1085 tyler james In bwilliams6907@gmail.com
City State Zip Phone Number Extension
camano island WA 98282 (360) 672-4086
Contractor
Company Name
GOLDSTAR PLUMBING LLC
Number Street Apartment or Suite Number
17510 Brook Blvd
City State Zip Phone Number Extension
BOTHELL WA 98012 (425)300-9900
State License Number License Expiration Date UBI # E-mail Address
GOLDSPL794CP 2/2/2023 BD45Rf11 qR bwilliams6907@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
23915 76TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00488800600503
Associated Building Permit Number Tenant Name
bld2022-1471
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Patricia M Booriak
Number Street Apartment or Suite Number
23915 76TH 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: 11/30/2022 Submitted By: bobby Williams
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1236591 - beth paschal
Project Contact
Company Name: word works construction
Name: bobby williams Email: bwilliams6907@gmail.com
Address: 1085 tylerjames In Phone #: (360) 672-4086
camano island WA 98282
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Name: beth paschal
Description of Work: bathroom remodel, relocation of main plumbing wall by 12inches
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Shower, Tub or Combo 1
Toilet 1
Sinks
Sink 1
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, master bath
Master Bath, Garage)
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