Permit_1278125CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n7n7'i-n7R7 Issued Date
3/6/2023
Expiration Date
9/2/2023
Job Address
21407 90TH AVE W Fee Paid
$119.00
EDMONDS, 98026 Order Confirmation
1207460
Floor
Related Permit#
PB20684
Suite
Application ID
1278125
Contact Information
Contact Name
Nicole Williams Contractor
PACIFIC BATH COMPANY
Phone Number
(206)565-2030Ext (206)565-2030
Property Owner
James & Lexine Hillier LNI License#
SPECICN793OZ
Address
21407 90TH AVE W EDMONDS, WA Phone#
(206)565-2030
City Bus. License #
verified
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Shower, Tub or Combo, There is
no other onsite work that requires a building permit.)
Remove shower/tub combo install Walk in Shower using existing foot print and plumbing
Conditions - Post Permit on site. Do not cover until inspected.
Plumbing contractor license laws are regulated by Chapter 18.106 RCW. Property owners who hire an
unlicensed plumber may assume the risks and potential monetary liability for work performed by unlicensed
plumbing contractors. For more information contact L&I Department of Licensing at 1-800-647-0982.
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the
above may result in revocation of the permit.
Applicant: Nicole Williams
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CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i_(19R9
Issued Date
3/6/2023
Expiration Date
9/2/2023
Job Address
21407 90TH AVE W
Fee Paid
$119.00
EDMONDS, 98026
Order Confirmation
1207460
Floor
Related Permit#
PB20684
Suite
Application ID
1278125
Inspections
Inspection IVR Inspector Date Inspection IVR Inspector Date
Rough In Plumbing
Plumbing Final
Inspection Scheduling
The issuance of this permit in no way constitutes approval from any other agencies having regulatory authority over
the facility and this construction activity.
It is the responsibility of the property owner to obtain any and all such
required approvals.
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