BLD2023-1192+Application+9.22.2023_2.17.14_PM+3799850CITY OF EDMONDS MyB�ildingPermit.com
Plumbing Application #1380117 - Bottle Filler Brackett's North
Applicant
First Name Last Name
Company Name
Kyle Woods
City of Edmonds, Parks and Rec
Number Street
Apartment or Suite Number E-mail Address
700 Main ST
kyle.woods(a_edmondswa.gov
City State Zip
Phone Number Extension
Edmonds WA 98020
(425) 599-3847
Contractor
Company Name
Contractor Unknown
Number Street
Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
104 RAILROAD AVE N
City Zip Code County Parcel Number
EDMONDS 98020 27032300102800
Associated Building Permit Number Tenant Name
Vacant
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
1 None
First Name Last Name or Company Name
Kyle Woods EDMONDS CITY OF
Number Street Apartment or Suite Number
250 5TH AVE N
City State Zip
EDMONDS WA 98020-3146
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: 9/22/2023 Submitted By: Kyle Woods
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CITY OF EDMONDS M BuildingPerrnit.com
Plumbing Application #1380117 - Bottle Filler Brackett's North
Project Contact
Company Name: City of Edmonds, Parks and
Rec
Name: Kyle Woods Email: kyle.woods@edmondswa.gov
Address: 700 Main ST Phone #: (425) 599-3847
Edmonds WA 98020
Project Type
Nonresidential
Activity Type
New
Scope of Work
Plumbing
Project Name: Bottle Filler Brackett's North
Description of Work: Installation of 1 bottle filler at Brackett's North Park.
Project Details
Scope of Work
Plumbing Fixtures Per Plans
Type of Use
Work does NOT have med gas, commercial kitchen,
food svc, lab, medical, or dental use.
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Brackett's Landing North Restroom
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