BLD2024-1320_Application_10.8.2024_5.34.45_PM_4548587CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1558981 - Girls bathroom
Applicant
First Name Last Name Company Name
Lena Kleven
Number Street Apartment or Suite Number E-mail Address
734 Fir St mingalen@hotmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (360) 821-1423
Contractor
Company Name
Contractor Unknown
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
734 FIR ST
City Zip Code County Parcel Number
EDMONDS 98020 00619401001001
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
John\Lena Kleven
Number Street Apartment or Suite Number
734 FIR ST
City State Zip
EDMONDS WA 98020
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: 10/8/2024 Submitted By: Lena Kleven
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1558981 - Girls bathroom
Project Contact
Company Name:
Name:
Address:
Lena Kleven
734 Fir St
Edmonds WA 98020
Email: mingalen@hotmail.com
Phone #: (360) 821-1423
Project Type Activity Type Scope of Work
Single Family Residential New Plumbing
Project Name: Girls bathroom
Description of Work: Add a small 3/4 bathroom directly above an existing bathroom
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Drains
Floor Drain
Fixtures
Shower, Tub or Combo
Toilet
Sinks
Sink
Piping
Piping - Water Service
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
1
1
2nd floor (top)
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