BLD2023-1446_Application_11.13.2023_10.50.29_AM_3896037CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1403548 - Tomkinson/Sowa
Applicant
First Name Last Name Company Name
Ben Wieczorek ARBOR CONST CO GEN CONTRS LLC
Number Street Apartment or Suite Number E-mail Address
4208 223rd pl sw unclebenw@gmail.com
City State Zip Phone Number Extension
mountlake terrace WA 98043 (206) 484-5983
Contractor
Company Name
ARBOR CONST CO GEN CONTRS LLC
Number Street Apartment or Suite Number
4208 223rd pl sw
City State Zip Phone Number Extension
MOUNTLAKE WA 98043 (206) 484-5983
State License Number License Expiration Date UBI # E-mail Address
ARBORCC922J9 8/15/2025 FD989F673 unclebenw@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
22903 76TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00441500100500
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
Jessica & Tomkinson Emily Sowa
Number Street Apartment or Suite Number
22903 76TH AVE 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: 11/13/2023 Submitted By: Ben Wieczorek
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1403548 - Tomkinson/Sowa
Project Contact
Company Name: ARCBOR CONST CO GEN CONTRS
LL
Name: Ben Wieczorek Email: unclebenw@gmail.com
Address: 4208 223rd pl sw Phone #: (206) 484-5983
mountlake terrace WA 98043
Project Type
Single Family Residential
Activity Type
Alteration
Project Name: Tomkinson/Sowa
Description of Work: rough in remodel and addition
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Drains
Floor Drain
Fixtures
Shower, Tub or Combo
Toilet
Water Heater - Tankless
Sinks
Sink
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
2
2
2
1
3
first floor of house
Scope of Work
Plumbing
Page 2 of 2