BLD2022-1645_Application_12.2.2022_8.17.53_AM_3248191CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1237331 - berkshire hathaway
Applicant
First Name Last Name Company Name
David Frost Frost Plumbing
Number Street Apartment or Suite Number E-mail Address
6107 195th ave s.e. davfroplu@aol.com
City State Zip Phone Number Extension
Snohomish WA 98290 (425) 345-8365
Contractor
Company Name
Frost Plumbing
Number Street Apartment or Suite Number
6107 195th ave s.e.
City State Zip Phone Number Extension
Snohomish WA 98290 (360) 563-9839
State License Number License Expiration Date UBI # E-mail Address
FROSTP*796RM 1/11/2024 FD1 ,iR:i41 ,1 davfroplu@aol.com
Project Location
Number Street Floor Number Suite or Room Number
505 5TH AVE S 1 103
City Zip Code County Parcel Number
EDMONDS 98020 01070900000300
Associated Building Permit Number Tenant Name
paragon properties LLC
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
jack PARAGEN PROPERTIES II LLC
Number Street Apartment or Suite Number
23929 W WOODWAY LN
City State Zip
WOODWAY WA 98020-5229
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: 12/2/2022 Submitted By: David Frost
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1237331 - berkshire hathaway
Project Contact
Company Name: Frost Plumbing
Name: David Frost Email: davfroplu@aol.com
Address: 6107 195th ave s.e. Phone #: (425) 345-8365
Snohomish WA 98290
Project Type Activity Type Scope of Work
Mixed Use Alteration Plumbing
Project Name: berkshire hathaway
Description of Work: add one bar sink
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Work to be performed by a licensed contractor
Yes
1
add bar sink
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