Application_1382507CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1382507
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
23510 96TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00554800100410
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
Daniel W Vannoy
Number Street
23510 96TH 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: 9/28/2023 Submitted By: Kevin McAdams
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1382507
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Details
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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