Application_1496435CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1496435
Applicant
First Name Last Name
Quiana Williams
Company Name
Jacuzzi Bath Remodel of Seattle
Number Street
8330 S 259th St
Apartment or Suite Number E-mail Address
quiana.williams@jacuzzi.com
City State Zip
Kent WA 98030
Phone Number Extension
(253) 625-9168
Contractor
Company Name
JACUZZI BATH REMODEL OF SEA
Number Street
8330 S 259th St
Apartment or Suite Number
City State Zip
Kent WA 98030
Phone Number Extension
(253) 625-9168
State License Number License Expiration Date
JACUZBR787P8 11/18/2024
UBI # E-mail Address
BD47.snnR4 quiana.williams@jacuzzi.com
Project Location
Number Street
8114 213TH ST SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00573200001000
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
Norman Shivley
Number Street
8114 213TH ST SW
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: 5/30/2024 Submitted By: Quiana Williams
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1496435
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Scope of Work
Like for like equipment in the same location
Fixtures
Shower, Tub or Combo
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
1
Master Bath on 1 st Floor
Scope of Work
Plumbing
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