BLD2023-1135+Application+9.7.2023_4.34.39_PM+3770815CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1373115 - Kuzma's Fish Market
Applicant
First Name Last Name Company Name
Gary Yost LAYNE PLUMBING & WATER HEATERS
Number Street Apartment or Suite Number E-mail Address
3204 Smokey Point Dr Ste, 101 Iayneplumbing032(a_gmail.com
City State Zip Phone Number Extension
Arlinqton WA 98223 (425) 931-1045
Contractor
Company Name
LAYNE PLUMBING & WATER HTR LLC
Number Street
Apartment or Suite Number
3204 Smokey Point
Drive
STE 101
City
State Zip
Phone Number
Extension
Arlinqton
WA 98223
(425) 931-1045
State License Number
License Expiration Date
UBI #
E-mail Address
LAYNEPW786BQ
1/28/2024
604116590
Iayneplumbing032(a-)_gmail.com
Project Location
Number Street
Floor Number
Suite or Room Number
21104 70TH AVE W
1
B
City
Zip Code
County Parcel Number
EDMONDS
98026
00566900600301
Associated Building Permit Number
Tenant Name
Ken Hewitt
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Kim A Pierce
Number Street Apartment or Suite Number
PO BOX 6236
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
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.
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: 9/7/2023 Submitted By: Gary Yost
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1373115 - Kuzma's Fish Market
Project Contact
Company Name: LAYNE PLUMBING & WATER
HEATERS
Name: Gary Yost Email: layneplumbing032@gmail.com
Address: 3204 Smokey Point Dr Ste, 101 Phone #: (425) 931-1045
Arlington WA 98223
Project Type
Nonresidential
Activity Type
Repair or Replacement
Project Name: Kuzma's Fish Market
Description of Work: Expansion of fish market
Project Details
Scope of Work
Plumbing Fixtures Per Plans
Type of Use
Work includes commercial kitchen, food svc, med
gas, lab, medical use, or dental use.
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1 st floor,
Master Bath, Garage)
30
North side of structure
Scope of Work
Plumbing
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