BLD2023-1150_Application_9.12.2023_2.15.54_PM_3778540CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1375136 - my bathroom
Applicant
First Name Last Name Company Name
Irina Gelfenbeyn
Number Street Apartment or Suite Number E-mail Address
957 SPRAGUE ST ielfenbeyn@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020-2966 (510) 469-3822
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
957 SPRAGUE ST
City Zip Code County Parcel Number
EDMONDS 98020 00434206402100
Associated Building Permit Number Tenant Name
bId2023-0852
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Irina Gelfenbeyn
Number Street Apartment or Suite Number
1113 957 Sprague Street
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: 9/12/2023 Submitted By: Irina Gelfenbeyn
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1375136 - my bathroom
Project Contact
Company Name:
Name: Irina Gelfenbeyn
Address: 957 SPRAGUE ST
Edmonds WA 98020-2966
Project Type
Single Family Residential
Email: ielfenbeyn@gmail.com
Phone #: (510) 469-3822
Activity Type Scope of Work
New Plumbing
Project Name: my bathroom
Description of Work: I am putting a bathroom at the end of my garage
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Shower, Tub or Combo
Toilet
Hot Water Heater
Sinks
Sink
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
1
adding new bath at the end of the garage area
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