BLD2024-0331_Application_3.11.2024_10.58.19_AM_4117798CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1455604 - Lantz
Applicant
First Name Last Name Company Name
eric Shirley Shirley plumbing
Number Street Apartment or Suite Number E-mail Address
25001 summit dr mr.ericshirley@gmail.com
City State Zip Phone Number Extension
Black Diamond WA 98010-9400 (206) 355-9638
Contractor
Company Name
SHIRLEY PLUMBING LLC
Number Street Apartment or Suite Number
25001 SUMMIT DR
City State Zip Phone Number Extension
BLACK DIAMOND WA 98010 (206) 355-9638
State License Number License Expiration Date UBI # E-mail Address
SHIRLPL789NB 7/19/2024 BD4,i171g5 mr.ericshirley@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
8714 TALBOT RD
City Zip Code County Parcel Number
EDMONDS 98026 00594400005502
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
Brett & Kathy Lantz
Number Street Apartment or Suite Number
8714 TALBOT RD
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: 3/11/2024 Submitted By: eric Shirley
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1455604 - Lantz
Project Contact
Company Name: Shirley plumbing
Name: eric Shirley Email: mr.ericshirley@gmail.com
Address: 25001 summit dr Phone #: (206) 355-9638
Black Diamond WA 98010-9400
Project Type
Single Family Residential
Activity Type
Alteration
Project Name: Lantz
Description of Work: Remodel Kitchen and powder room
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Dishwasher
Ice Maker
Toilet
Sinks
Sink
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is or will be a building permit associated with
this work at the project location.
1
1
1
3
kitchen area
Scope of Work
Plumbing
Page 2 of 2