BLD2023-0285_Application_3.6.2023_10.04.41_AM_3403066CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1278171 - Master bath
Applicant
First Name Last Name Company Name
Lisa Brown
Number Street Apartment or Suite Number E-mail Address
229 3rd Avenue S Apt A stenocaptioner@comcast.net
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 713-2409
Contractor
Company Name
ROBERT L SMITH PLMG SPCTYS INC
Number Street Apartment or Suite Number
125 CANDACE LN
City State Zip Phone Number Extension
SEDRO WOOLLEY WA 98284 3607240314
State License Number License Expiration Date UBI # E-mail Address
ROBERLS98307 9/27/2022 F;ngnnnF;78 stenocaptioner@comcast.net
Project Location
Number Street Floor Number Suite or Room Number
229 S 3RD AVE A
City Zip Code County Parcel Number
EDMONDS 98020 00851400100100
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
Lisa Brown
Number Street Apartment or Suite Number
229 3RD AVE S A
City State Zip
EDMONDS WA 98020
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: 3/6/2023 Submitted By: Lisa Brown
Page 1 of 2
i
CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1278171 - Master bath
Project Contact
Company Name:
Name: Lisa Brown Email: stenocaptioner@comcast.net
Address: 229 3rd Avenue S Apt A Phone #: (206) 713-2409
Edmonds WA 98020
Project Type Activity Type Scope of Work
Single Family Condominium Unit Alteration Plumbing
Project Name: Master bath
Description of Retroactive permit for RLS plumbing, work performed April 2018: through crawlspace,
Work: Rearranged toilet, sink and tub from original placement inside the master bath, no wall
removal. Plumber said no permit was required.
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)
3
Rearranged en suite bathroom toilet, sink and tub from
original location. First floor, master bathroom.
Page 2 of 2