BLD2023-1176_Application_9.17.2023_9.08.36_PM_3787639CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1377279 - New House Plumbing
Applicant
First Name Last Name Company Name
Ricardas Vaisvila
Number Street Apartment or Suite Number E-mail Address
17123 69th PI W richardvaisvila@comcast.net
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 299-1739
Contractor
Company Name
Contractor Unknown
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
17125 69TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 01017300001200
Associated Building Permit Number Tenant Name
BLD2022-0094
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Ricardas Vaisvila
Number Street Apartment or Suite Number
17125 69TH PL W
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: 9/17/2023 Submitted By: Ricardas Vaisvila
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1377279 - New House Plumbing
Project Contact
Company Name:
Name:
Address:
Ricardas Vaisvila
17123 69th PI W
Edmonds WA 98026
Project Type
Single Family Residential
Email: richardvaisvila@comcast.net
Phone #: (425) 299-1739
Activity Type Scope of Work
New Plumbing
Project Name: New House Plumbing
Description of Work: Install DWV and domestic water lines for new home
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Clothes Washer
1
Dishwasher
1
Hose Bib
3
Ice Maker
1
Pressure Reducing Valve - Plum
1
Shower, Tub or Combo
3
Toilet
4
Water Heater - Tankless
1
Sinks
Sink
7
Piping
Gas Piping Outlets - Plum
5
Piping - Water Service
Water Supply Piping
1
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Other
BLD2022-0094
1
Work Location
Work Description/Location (example: 1 st floor,
New SFR under construction
Master Bath, Garage)
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