BLD2023-0839_Application_7.6.2023_11.36.33_AM_3650413CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1343118 - Telema
Applicant
First Name Last Name Company Name
Rey Romero Effective Plumbing
Number Street Apartment or Suite Number E-mail Address
1957 P.O box 1957 effectiveplumbingllc425@gmail.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (425) 772-4245
Contractor
Company Name
EFFECTIVE PLUMBING LLC
Number Street Apartment or Suite Number
20232 38TH AVE W
City State Zip Phone Number Extension
LYNNWOOD WA 98036 (206) 406-5161
State License Number License Expiration Date UBI # E-mail Address
EFFECPL792RO 1/14/2024 6644551 qq effectiveplumbingllc425@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
24305 87TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00665900000500
Associated Building Permit Number Tenant Name
BLD2021-0996
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Waltengus T Talema
Number Street Apartment or Suite Number
24305 87TH PL W
City State Zip
EDMONDS WA 98026-9005
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: 7/6/2023 Submitted By: Rey Romero
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1343118 - Telema
Project Contact
Company Name: Effective Plumbing
Name: Rey Romero Email: effectiveplumbingllc425@gmail.com
Address: 1957 P.O box 1957 Phone #: (425) 772-4245
Lynnwood WA 98036
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Name: Telema
Description of Work: Add kitchen sink
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Sinks
Sink 1
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, Interior
Master Bath, Garage)
Page 2 of 2