BLD2024-0947_Application_7.22.2024_1.45.49_PM_4392810CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1521470 - Goodman remodel
Applicant
First Name Last Name Company Name
William and Michelle Goodman
Number Street Apartment or Suite Number E-mail Address
16624 72nd Ave W wmgoodman1@comcast.net
City State Zip Phone Number Extension
EDMONDS WA 98026-5100 (206) 719-1416
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
16624 72ND AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00513100010502
Associated Building Permit Number Tenant Name
BLD2023-1461
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
William M & Michelle S Goodman
Number Street Apartment or Suite Number
16624 72ND AVE W
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: 7/22/2024 Submitted By: William and Michelle Goodman
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1521470 - Goodman remodel
Project Contact
Company Name:
Name: William and Michelle Email: wmgoodman1@comcast.net
Goodman
Address: 16624 72nd Ave W Phone #: (206) 719-1416
EDMONDS WA 98026-5100
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Name: Goodman remodel
Description of Work: Basement bathroom remodel
Project Details
Scope of Work
Like for like equipment in the same location
Fixtures
Dishwasher 1
Shower, Tub or Combo 1
Toilet 1
Sinks
Sink 1
Work Location
Work Description/Location (example: 1 st floor, Remodel basement bathroom
Master Bath, Garage)
Existing Permits
There is or will be a building permit associated with
this work at the project location.
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