BLD2024-0605+Application+5.6.2024_11.24.29_AM+4238921CITY OF EDMONDS
Building Application #1483961 - Bathroom 2
Applicant
First Name Last Name
Scott Lewis
Number Street Apartment or Suite N
612 Edmonds Way
City State Zip
Edmonds WA 98020
Contractor
Company Name
Contractor Unknown
Number Street
City State Zip
State License Number License Expiration Date UBI #
Project Location
i
MyBuitdingPermit.com
Company Name
ar E-mail Address
Mrscottsenterprises(a),outlook.com
Phone Number Extension
(206) 554-9851
Apartment or Suite Number
Phone Number Extension
E-mail Address
Number Street Floor Number Suite or Room Number
612 EDMONDS WAY
City Zip Code County Parcel Number
EDMONDS 98020 27032500308800
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
Scott F & Marqarita O Lewis
Number Street Apartment or Suite Number
612 EDMONDS WAY
City State Zip
EDMONDS WA 98020
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: 5/6/2024 Submitted By: Scott Lewis
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1483961 - Bathroom 2
Project Contact
Company Name:
Name:
Address:
Scott Lewis
612 Edmonds Way
Edmonds WA 98020
Project Type
Single Family Residential
Email: Mrscottsenterprises@outlook.com
Phone #: (206) 554-9851
Activity Type Scope of Work
Remodel Residence
Project Name: Bathroom 2
Description of Convert laundry/utility room into a 3/4 bathroom. Work will include moving laundry water
Work: connections and drain, installing a new shower drain and toilet drain, install new water
connections for bathroom sink and shower, and two ceiling ventalation fans.
Project Details
Mechanical Included?
Mechanical work will occur during this project.
Plumbing Included?
Plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1 st floor,
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address
Convert laundry/utility room into a 3/4 bathroom. Room
is located adjacent to the master BR closet and two
exterior walls.
$18,398
Mrscottsenterprises@outlook.com
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