Application_1378737CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1378737
Applicant
First Name Last Name
Kevin McAdams
Company Name
Pacific Bath Company
Number Street
7859 S 180th St
Apartment or Suite Number E-mail Address
permits@speconnw.com
City State Zip
Kent WA 98032
Phone Number Extension
(206) 312-4170
Contractor
Company Name
PACIFIC BATH COMPANY
Number Street
17880 NE Airport Way
Apartment or Suite Number
110
City State Zip
PORTLAND OR 97230
Phone Number Extension
(206) 312-4170
State License Number License Expiration Date
SPECICN793OZ 8/31/2025
UBI # E-mail Address
FD357F144 permits@speconnw.com
Project Location
Number Street
23903 102ND AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00589100001100
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
Douglas P Jones
Number Street
23903 102ND AVE W
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: 9/20/2023 Submitted By: Kevin McAdams
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1378737
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Details
Scope of Work
Like for like equipment in the same location
Fixtures
Shower, Tub or Combo 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Master
Master Bath, Garage)
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