BLD2023-1120_Application_9.6.2023_9.05.17_AM_3765826CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1372075 - Ainsley Master Bath Remodel
Applicant
First Name Last Name Company Name
Shayli Sutton The Plumbing Physician
Number Street Apartment or Suite Number E-mail Address
PO Box 2213 plumbphy@aol.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (425) 771-6200
Contractor
Company Name
PLUMBING PHYSICIAN, THE
Number Street Apartment or Suite Number
PO Box 2213
City State Zip Phone Number Extension
Lynnwood WA 98036 (425) 771-6200
State License Number License Expiration Date UBI # E-mail Address
PLUMBP*792PD 10/1/2025 RD17Df1917 plumbphy@aol.com
Project Location
Number Street Floor Number Suite or Room Number
7429 N MEADOWDALE RD
City Zip Code County Parcel Number
EDMONDS 98026 00513103000900
Associated Building Permit Number Tenant Name
BLD2023-0940
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Keith A & Pamela L Ainsley
Number Street Apartment or Suite Number
7429 N MEADOWDALE RD
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: 9/6/2023 Submitted By: Shayli Sutton
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1372075 - Ainsley Master Bath Remodel
Project Contact
Company Name: The Plumbing Physician
Name: Shayli Sutton Email: plumbphy@aol.com
Address: PO Box 2213 Phone #: (425) 771-6200
Lynnwood WA 98036
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Name: Ainsley Master Bath Remodel
Description of Work: Master Bath Remodel
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Shower, Tub or Combo 1
Toilet 1
Sinks
Sink 2
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: 1 st floor, Master Bath
Master Bath, Garage)
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