BLD2023-0365_Application_3.27.2023_10.18.39_AM_3444565CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1289017 - Remodel Plumbing
Applicant
First Name Last Name Company Name
Lula Samuel
Number Street Apartment or Suite Number E-mail Address
15827 70th Ave W lulita_2@yahoo.com
City State Zip Phone Number Extension
Edmonds WA 98026 (605) 622-0452
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
15827 70TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00513100003716
Associated Building Permit Number Tenant Name
BLD2022-0871
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Lula Samuel
Number Street Apartment or Suite Number
15827 70TH 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: 3/27/2023 Submitted By: Lula Samuel
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1289017 - Remodel Plumbing
Project Contact
Company Name:
Name:
Address:
Lula Samuel
15827 70th Ave W
Edmonds WA 98026
Project Type
Single Family Residential
Email: lulita_2@yahoo.com
Phone #: (605) 622-0452
Activity Type Scope of Work
New Plumbing
Project Name: Remodel Plumbing
Description of Work: Plumbing for full house remodel
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Drains
Floor Drain
Fixtures
Clothes Washer
Dishwasher
Shower, Tub or Combo
Toilet
Water Heater - Gas Mechanical
Sinks
Sink
Piping
Gas Piping Outlets - Plum
Piping - Water Service
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)
oil
2
1
3
3
1
I
15827 70th Ave W, Edmonds WA 98026 - I am doing a
complete remodel with 3 bathrooms a kitchen and 2
washing machines that will be brand new fixtures
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