BLD2023-0724_Application_6.9.2023_12.58.56_PM_3600133CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1330701 -Nice Residence
Applicant
First Name Last Name Company Name
Robin Kearsley Kearsley Homes
Number Street Apartment or Suite Number E-mail Address
6631 Norma Beach Road r@kearsleyhomes.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 478-6380
Contractor
Company Name
KEARSLEY HOMES INC
Number Street Apartment or Suite Number
6631 Norma Beach Road
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 478-6380
State License Number License Expiration Date UBI # E-mail Address
KEARSHI005NH 10/23/2023 F;ngng iF;g r@kearsleyhomes.com
Project Location
Number Street Floor Number Suite or Room Number
848 PUGET WAY
City Zip Code County Parcel Number
EDMONDS 98020 00496000001100
Associated Building Permit Number Tenant Name
BLD2022-1227
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Ryan & Tiffany Nice
Number Street Apartment or Suite Number
848 PUGET WAY
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: 6/9/2023 Submitted By: Robin Kearsley
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1330701 -Nice Residence
Project Contact
Company Name: Kearsley Homes
Name: Robin Kearsley Email: r@kearsleyhomes.com
Address: 6631 Norma Beach Road Phone #: (425) 478-6380
Edmonds WA 98026
Project Type Activity Type Scope of Work
Single Family Residential New Plumbing
Project Name: Nice Residence
Description of Work: Complete plumbing rough in for new single family remodel work
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Drains
Floor Drain
Fixtures
Clothes Washer
Dishwasher
Hose Bib
Instant Hot water Tap
Pressure Reducing Valve - Plum
Shower, Tub or Combo
Toilet
Water Heater - Tankless
Sinks
Sink
Piping
Back Flow Preventer
Piping - Water Service
Water Supply Piping
Backflow Protective Device - 2" or smaller
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
3
1
1
4
4
1
5
1
1
1
Complete house remodel. Lower & upper floor and
garage
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