BLD2024-0992_Application_7.30.2024_4.17.08_PM_4411217CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1525663 - Buchanan
Applicant
First Name Last Name Company Name
Justin Yancey Lake City Plumbing
Number Street Apartment or Suite Number E-mail Address
PO Box 656 jana@lakecityplumbing.com
City State Zip Phone Number Extension
Mountlake Terrace WA 98043 (206) 546-8843
Contractor
Company Name
Lake City Plumbing
Number Street Apartment or Suite Number
PO Box 656
City State Zip Phone Number Extension
Mountlake Terrace WA 98043 (206) 546-8843
State License Number License Expiration Date UBI # E-mail Address
LAKECCP791 MG 8/17/2025 F;n9s9i4i4 jana@lakecityplumbing.com
Project Location
Number Street Floor Number Suite or Room Number
21011 HILLCREST PL
City Zip Code County Parcel Number
EDMONDS 98026 00373600500610
Associated Building Permit Number Tenant Name
BLD2024-0232
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Gregory J & Madeline J Buchanan
Number Street Apartment or Suite Number
21011 HILLCREST PL
City State Zip
EDMONDS WA 98026-6916
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: 7/30/2024 Submitted By: Justin Yancey
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1525663 - Buchanan
Project Contact
Company Name: Lake City Plumbing
Name: Justin Yancey Email: jana@lakecityplumbing.com
Address: PO Box 656 Phone #: (206) 546-8843
Mountlake Terrace WA
98043
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Name: Buchanan
Description of Work: 2nd floor bathroom tub relocation and 2nd floor laundry relocation
Project Details
Scope of Work
Like for like equipment in the same location
Fixtures
Clothes Washer
Shower, Tub or Combo
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
2nd floor relocation of tub, a 2nd floor relocation of a
laundry.
Page 2 of 2