Application_1602045CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1602045
Applicant
First Name Last Name
Sam Teddy
Company Name
SJ TEDDY PLUMBING CNTRTRS LLC
Number Street
9228 Goblin Ln
Apartment or Suite Number E-mail Address
sam@sjteddy.com
City State Zip
Everett WA 98208
Phone Number Extension
(425) 241-5544
Contractor
Company Name
SJ TEDDY PLUMBING CNTRTRS LLC
Number Street
9228 Goblin Ln
Apartment or Suite Number
City State Zip
Everett WA 98208
Phone Number Extension
(425) 241-5544
State License Number License Expiration Date
SJTEDTP79OMN 7/13/2025
UBI # E-mail Address
BD47514R� sam@sjteddy.com
Project Location
Number Street
734 FIR ST
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
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
734 FIR ST
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 1/16/2025 Submitted By: Sam Teddy
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1602045
Project Type Activity Type Scope of Work
Single Family Residential New Plumbing
Project Details
Fixtures
Shower, Tub or Combo
Toilet
Sinks
Sink
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
1
1
1
2nd floor added bathroom
Page 2 of 2