BLD2023-1056+Application+8.24.2023_8.05.21_AM+3744204CITY OF EDMONDS
MyBuildingPermit.com
Plumbing Application #1366915 - Nova Family Services
Applicant
First Name
Last Name
Company Name
Ken
Nikolaisen
Preferred Plumbinq Inc.
Number Street
Apartment or Suite Number
E-mail Address
3624 146th ave se
seattlemarinerfan(D_msn.com
City State
Zip
Phone Number Extension
Bellevue WA
98006
(425) 652-7085
Contractor
Company Name
PREFERRED PLUMBING INC
Number Street
Apartment or Suite Number
3624 146th ave se
City
State Zip
Phone Number Extension
Bellevue
WA 98006
(425) 652-7085
State License Number
License Expiration Date UBI #
E-mail Address
PREFEP1799NQ
11/8/2023 601744122
seattlemarinerfan(a_msn.com
Project Location
Number Street Floor Number Suite or Room Number
21010 76TH AVE W 1-2 none
City Zip Code County Parcel Number
EDMONDS 98026 00614300001604
Associated Building Permit Number Tenant Name
Nova Family Services
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
SKY PROPERTIES 8 LLC
Number Street Apartment or Suite Number
PO BOX 524
City State Zip
KIRKLAND WA 98083
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: 8/24/2023 Submitted By: Ken Nikolaisen
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CITY OF EDMONDS Mysu;laingPerrnit.com
Plumbing Application #1366915 - Nova Family Services
Project Contact
Company Name: Preferred Plumbing Inc.
Name: Ken Nikolaisen Email: seattlemarinerfan@msn.com
Address: 3624 146th ave se Phone #: (425) 652-7085
Bellevue WA 98006
Project Type
Mixed Use
Activity Type
Alteration
Scope of Work
Plumbing
Project Name: Nova Family Services
Description of Work: Add handwash sink on main floor, add two compartment and handwash sinks on
second floor
Project Details
Scope of Work
Plumbing Fixtures Per Plans
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)
Work to be performed by a licensed contractor
Yes
3
Add handwash sink on bottom floor. Add handwash
sink and two compartment sink on second floor.
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