BLD2023-0119_Application_1.30.2023_6.53.20_AM_3339499CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1261044 - Brousseau
Applicant
First Name Last Name Company Name
ryan myers Ryan's Custom Plumbing
Number Street Apartment or Suite Number E-mail Address
22529 73rd pl w ryanscustomplumbing@gmail.com
City State Zip Phone Number Extension
edmonds WA 98026 (425) 870-7960
Contractor
Company Name
RYAN'S CUSTOM PLUMBING INC
Number Street Apartment or Suite Number
22529 73rd PI W
City State Zip Phone Number Extension
EDMONDS WA 98026 (425)870-7960
State License Number License Expiration Date UBI # E-mail Address
RYANSCP784KB 5/23/2024 FD4,iA9517 ryanscustomplumbing@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
24020 76TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00491100000906
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
Tim R & Merrill M Brousseau
Number Street Apartment or Suite Number
24020 76TH 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: 1/30/2023 Submitted By: ryan myers
Page 1 of 2
i
CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1261044 - Brousseau
Project Contact
Company Name: Ryan's Custom
Plumbing
Name: ryan myers Email: ryanscustomplumbing@gmail.com
Address: 22529 73rd pl w Phone #: (425) 870-7960
edmonds WA 98026
Project Type
Single Family Residential
Project Name: Brousseau
Description of Work: rough -in for new bathroom
Project Details
Activity Type Scope of Work
New Plumbing
Fixtures
Shower, Tub or Combo
Toilet
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
addition in back yard with one bathroom
Page 2 of 2