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Application_1482816CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1482816 Applicant First Name Last Name Kevin McAdams Company Name Specialty Contractors NW -Pacific Bath Number Street 17880 NE Airport Way Apartment or Suite Number E-mail Address 110 Seattle Permits@pacificbath.com City State Zip portland OR 97230 Phone Number Extension (206) 456-6565 Contractor Company Name PACIFIC BATH COMPANY Number Street 17880 NE Airport Way Apartment or Suite Number 110 City State Zip PORTLAND WA 97230 Phone Number Extension (206) 456-6565 (206) 456-6565 State License Number License Expiration Date SPECICN793OZ 8/31/2025 UBI # E-mail Address FD357F144 permits@speconnw.com Project Location Number Street 1215 HIGHLAND DR Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00423000001000 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 David L & Pamela J Ttee Martin Number Street 1215 HIGHLAND DR Apartment or Suite Number City State EDMONDS WA Zip 98020-2952 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: 5/2/2024 Submitted By: Kevin McAdams Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1482816 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Fixtures Shower, Tub or Combo 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 Main floor Master Bath Scope of Work Plumbing Page 2 of 2