Application_1401697CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1401697
Applicant
First Name Last Name Company Name
Quiana Williams Jacuzzi Bath Remodel of Seattle
Number Street Apartment or Suite Number E-mail Address
8330 S 259th St quiana.williams@jacuzzi.com
City State Zip Phone Number Extension
Kent WA 98030 (253) 625-9168
Contractor
Company Name
JACUZZI BATH REMODEL OF SEA
Number Street Apartment or Suite Number
8330 S 259th St
City State Zip Phone Number Extension
Kent WA 98030 (253) 625-9168
State License Number License Expiration Date UBI # E-mail Address
JACUZBR787P8 11/18/2024 BD47.snnR4 quiana.williams@jacuzzi.com
Project Location
Number Street Floor Number Suite or Room Number
9122 BOWDOIN WAY
City Zip Code County Parcel Number
EDMONDS 98026 00373600600318
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Farrokh Kazemian
Number Street Apartment or Suite Number
9122 BOWDOIN WAY
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, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 11/8/2023 Submitted By: Quiana Williams
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1401697
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Scope of Work
Like for like equipment in the same location
Fixtures
Shower, Tub or Combo
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
1
Master bath first floor
Scope of Work
Plumbing
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