Application_2021-1356CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1029126
Applicant
First Name Last Name
Maria Britton
Company Name
specialty contractors nw
Number Street
17880 NE Airport Way
Apartment or Suite Number E-mail Address
110 permits@speconnw.com
City State Zip
portland OR 97230
Phone Number Extension
(971)264-0145
Contractor
Company Name
PACIFIC BATH COMPANY
Number Street
6521 SE CROSSWHITE WAY
Apartment or Suite Number
A
City State Zip
PORTLAND WA 97206
Phone Number Extension
(206)565-2030 (206)565-2030
State License Number License Expiration Date
SPECICN843D3 3/23/2022
UBI # E-mail Address
BD.1576144 permits@speconnw.com
Project Location
Number Street
31 PINE ST
Floor Number Suite or Room Number
104
City Zip Code
EDMONDS 98020
County Parcel Number
01022603110400
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
Robert & Susan Miller
Number Street
31 PINE ST
Apartment or Suite Number
104
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: 10/4/2021 Submitted By: Maria Britton
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1029126
Project Type
Single Family Residential
Project Details
Fixtures
Shower, Tub or Combo
Work Location
Activity Type
Repair or Replacement
Scope of Work
Plumbing
Work Description/Location (example: 1 st floor, Replace Tub in the Master bath using the existing
Master Bath, Garage) footprint and plumbing
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