BLD2023-0675_Application_6.2.2023_8.19.51_AM_3583270CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1326388 - PB22309
Applicant
First Name Last Name Company Name
Kevin McAdams Pacific Bath Company
Number Street Apartment or Suite Number E-mail Address
17880 NE Airport Way 110 Jgreer@pacificbath.com
City State Zip Phone Number Extension
Portland Ore 97230 (206) 565-2035
Contractor
Company Name
PACIFIC BATH COMPANY
Number Street Apartment or Suite Number
17880 NE Airport Way A
City State Zip Phone Number Extension
Portland OR 97230 2065652035 (206)565-2030
State License Number License Expiration Date UBI # E-mail Address
SPECICN793OZ 8/31/2023 FD357F144 Jgreer@pacificbath.com
Project Location
Number Street Floor Number Suite or Room Number
8915 200TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00506700003603
Associated Building Permit Number Tenant Name
PB22309
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Edward P\ Carol L Erdman
Number Street Apartment or Suite Number
8915 200TH ST SW
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: 6/2/2023 Submitted By: Kevin McAdams
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1326388 - PB22309
Project Contact
Company Name: Pacific Bath Company
Name: Kevin McAdams Email: Jgreer@pacificbath.com
Address: 17880 NE Airport Way 110 Phone #: (206) 565-2035
Portland Oregon 97230
Project Type
Single Family Residential
Activity Type
Repair or Replacement
Scope of Work
Plumbing
Project Name: PB22309
Description of Work: Remove shower/tub combo install Walk in Shower using existing footprint and
plumbing
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Shower, Tub or Combo
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Remove shower/tub combo install Walk in Shower
using existing footprint and plumbing
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