BLD2024-0635_Application_5.10.2024_5.32.18_PM_4251196CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1438982 - Bixler Art Studio
Applicant
First Name Last Name Company Name
Staci Bixler
Number Street Apartment or Suite Number E-mail Address
23629 102nd PI W stacibixler@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 979-0796
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
23629 102ND PL W
City Zip Code County Parcel Number
EDMONDS 98020 00405800001500
Associated Building Permit Number Tenant Name
BLD2024-0197
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Eric P & Staci A Bixler
Number Street Apartment or Suite Number
23629 102ND PL W
City State Zip
EDMONDS WA 98020
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: 5/10/2024 Submitted By: Staci Bixler
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1438982 - Bixler Art Studio
Project Contact
Company Name:
Name:
Address:
Staci Bixler
23629 102nd PI W
Edmonds WA 98020
Email: stacibixler@gmail.com
Phone #: (206) 979-0796
Project Type Activity Type Scope of Work
Single Family Residential New Plumbing
Project Name: Bixler Art Studio
Description of Work: Adding bathroom to out -building with connection to existing systems.
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Shower, Tub or Combo
Toilet
Sinks
Sink
Piping
Piping - Water Service
Water Supply Piping
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
1
Adding bathroom with extension of building drain to
existing system.
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