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Application_1513002CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1513002 Applicant First Name Last Name Company Name Kevin McAdams Pacific Bath Company Number Street Apartment or Suite Number E-mail Address 17880 NE Airport Way 110 permits@speconnw.com City State Zip Phone Number Extension Portland OR 97230 (206) 312-4170 Contractor Company Name PACIFIC BATH COMPANY Number Street Apartment or Suite Number 17880 NE STE 110 A City State Zip Phone Number Extension Portland OR 97230 (206) 312-4170 (206) 565-2030 State License Number License Expiration Date UBI # E-mail Address SPECICN793OZ 8/31/2025 BD.157B144 seattlepermits@pacificbath.com Project Location Number Street Floor Number Suite or Room Number 8025 218TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27043000108600 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 Rm & Nk Macauley Number Street Apartment or Suite Number 8025 218TH ST SW 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, 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: 7/3/2024 Submitted By: Kevin McAdams Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1513002 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 1 Work Location Work Description/Location (example: 1st floor, Hall bathroom Master Bath, Garage) Existing Permits There is no other onsite work that requires a building permit. Scope of Work Plumbing Page 2 of 2