Application_1000897CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1000897
Applicant
First Name Last Name
KATHY BUTTERLY
Company Name
SUPREME PLUMBING COMPANY LLC
Number Street
PO Box 2054
Apartment or Suite Number E-mail Address
supremeplumbingco@hotmail.com
City State Zip
Kingston WA 98346
Phone Number Extension
2062616282
Contractor
Company Name
SUPREME PLUMBING COMPANY LLC
Number Street
PO Box 2054
Apartment or Suite Number
City State Zip
Kingston WA 98346
Phone Number Extension
(206) 261-6282
State License Number License Expiration Date
SUPREPC873KL 6/12/2023
UBI # E-mail Address
F;n19g4B4� supremeplumbingco@hotmail.com
Project Location
Number Street
18416 OLYMPIC VIEW DR
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00565600200301
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
Mohammed & Sam Siow Fong Alobaidi
Number Street
18416 OLYMPIC VIEW DR
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: 8/3/2021 Submitted By: KATHY BUTTERLY
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1000897
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Details
Fixtures
Clothes Washer 1
Shower, Tub or Combo 1
Toilet 2
Sinks
Sink 2
Work Location
Work Description/Location (example: 1st floor, Basement
Master Bath, Garage)
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