Application_1476131CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1476131
Applicant
First Name Last Name
Josh Schofield
Company Name
Rebath of Seattle
Number Street
402 Valley Ave NW
Apartment or Suite Number E-mail Address
A109 rebathseattle@gmail.com
City State Zip
PUYALLUP WA 98371
Phone Number Extension
(206) 494-9000 237
Contractor
Company Name
RE -BATH OF SEATTLE
Number Street
720 N Main St
Apartment or Suite Number
City State Zip
MERIDIAN ID 83642
Phone Number Extension
(208) 367-0900
State License Number License Expiration Date
REBATS*780OZ 9/7/2024
UBI # E-mail Address
FD4B 19ggn rebathseattle@gmail.com
Project Location
Number Street
17214 77TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00681600000300
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
Duane Hoekstra
Number Street
17214 77TH AVE W
Apartment or Suite Number
City State
EDMONDS WA
Zip
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: 4/22/2024 Submitted By: Josh Schofield
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1476131
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Fixtures
Shower, Tub or Combo 1
Toilet 1
Sinks
Sink 1
Work Location
Work Description/Location (example: 1 st floor, Master Bath
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
Scope of Work
Plumbing
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