BLD2023-1588_Application_12.11.2023_11.22.04_AM_3944922CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1415204 - Machiavelli
Applicant
First Name Last Name
Shayli Sutton
Company Name
The Plumbing Physician
Number Street
PO Box 2213
Apartment or Suite Number E-mail Address
plumbphy@aol.com
City State Zip
Lynnwood WA 98036
Phone Number Extension
(425) 771-6200
Contractor
Company Name
PLUMBING PHYSICIAN, THE
Number Street
PO Box 2213
Apartment or Suite Number
City State Zip
Lynnwood WA 98036
Phone Number Extension
(425) 771-6200
State License Number License Expiration Date
PLUMBP*792PD 10/1/2025
UBI # E-mail Address
BD17(1f1917 plumbphy@aol.com
Project Location
Number Street
316 MAIN ST
Floor Number Suite or Room Number
1 none
City Zip Code
EDMONDS 98020
County Parcel Number
00434401600503
Associated Building Permit Number
BLD2023-1110
Tenant Name
Machiavelli
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Dena Blatt
Number Street
334 WOODLEY CT
Apartment or Suite Number
City State
SANTA BARBARA CA
Zip
93105
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: 12/11/2023 Submitted By: Shayli Sutton
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1415204 - Machiavelli
Project Contact
Company Name: The Plumbing Physician
Name: Shayli Sutton Email: plumbphy@aol.com
Address: PO Box 2213 Phone #: (425) 771-6200
Lynnwood WA 98036
Project Type
Nonresidential
Activity Type
Alteration
Scope of Work
Plumbing
Project Name: Machiavelli
Description of Work: Installation of 3 backflow valves in and near Kitchen
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Type of Use
Work includes commercial kitchen, food svc, med
gas, lab, medical use, or dental use.
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
3
Backflow valve location in Kitchen: under dishwasher,
by icemaker, by espresso machine. Associated Building
permit: BLD2023-1110
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