BLD2020-0155Type: RESIDENTIAL BLDG Owner/ Business: TOMIK CYNTHIA A & PEERAND MICHAEL Z Status: ISSUED
Subtype: ALTERATION OR REMODEL
Parcel No: 00619400401002 Site Address: 1005 7TH AVE S,
Applied: 2/4/2020
Subdivision: 006194
Lot: 0
Issued:2/11/2020
Fire Sprinklers: Lot Area: Zoning:
Final:
Valuation: $5,000.00 Occupancy Type: Construction
Type:
1 �O21
Expiration Date- 2/y
Code Edition: 0 No. Stories: 0 # of Dwelling
Units: 0
Issued by: WAL
Scope of Work: PEERAND- WALL REPAIR, PLUMBING REPAIRS
WA State Contractor L & I #: City of Edmonds Business License #: 6024S4996-001-0001
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
TOMIK CYNTHIA A &
2102S 80TH AVE W UNIT A,
(206)786-2050
ZPEERAND@GMAIL.COM
PEERAND MICHAEL Z
EDMONDS WA 98026
CONTRACTOR
TOMIK CYNTHIA A &
21025 BOTH AVE W UNIT A,
(206)786-2050
ZPEERAND@GMAIL.COM
PEERAND MICHAEL Z
EDMONDS WA 98026
OWNER
TOMIK CYNTHIA A&
2102S 80TH AVE W UNIT A,
(206)786-2050
ZPEER.AND@GMAIL.COM
I PEERAND MICHAEL Z
EDMONDS WA98026 I
FEE
INFORMATION
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$0.00
PER PERMIT
EACH PLUMBING FIXTURE ON ONE
001.000.322.10.000.00
$150.00
$0.00
TRAP
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$217.00
$0.00
PLAN REVIEW FEE - RESIDENTIAL
001.000.34S.83.000.00
$148.75
$148.75
2/4/20
R2971
RE -PIPE FOR DRAINS VENTS OR
001.000.322.10.000.00
$30.00
$0.00
WATER PIPING EA FIXTURE
RESIDENTIAL STATE SURCHARGE
001.000.237.lSO
$6.50
$0.00
WATER HEATER - INCLUDING
001.000.322.10.000.00
$15.00
$0.00
EXPANSION TANK
WATER SERVICE LINE - REPAIR OR
001.000.322.10.000.00
$15.00
$0.00
REPLACEMENT
TOTALS: $622.25
$148.75
CONDITIONS
CONDITION TYPE STATUS
NOTES
10'SEPARATION WATER AND FOR
Maintain 10 feet of horizontal separation between the sariftary sewer and the water
SEWER INFORMATION
service line.
Printed: Tuesday, February 11, 2020 2:04:29 PM 1 of 3
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