BLD2020-0751+Application+7.21.2020_3.56.33_PMCITY OF EDMONDS
Plumbing Application #819862 - Graphite Arts
Applicant
First Name Last Name
Carol Reilmann
Number Street Apartment or Suite Number
11875 Silverdale Way
City State Zip
Silverdale WA 98383
Contractor
Company Name
SILVERDALE PLUMBING/HEATNG INC
Number Street
11875 Silverdale Way NW
City State Zip
Silverdale WA 98383
State License Number License Expiration Date
SILVEI*220NU 8/31/2020
Project Location
Number Street
202 MAIN ST
City Zip Code
EDMONDS 98020
Associated Building Permit Number
BLD2019-1111
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Mary
Number Street
221 2ND AVE N
City
EDMONDS
MyBuildingPermit.com
Company Name
Silverdale Plumbing & Heatinq, Inc.
E-mail Address
carol (a_silverdaleplumbinq.com
Phone Number Extension
(360)692-8840 18
Apartment or Suite Number
Suite 104
Phone Number Extension
(360) 692-8840
UBI # E-mail Address
600322296 carol(a)_silverdaleplumbinq.com
County Parcel Number
00454800101300
Tenant Name
Graphite Arts I
Last Name or Company Name
Olson
State Zip
WA 98020-3103
Certification Statement - The applicant states:
Floor Number Suite or Room Number
1 None
Apartment or Suite Number
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 7/21/2020 Submitted By: Carol Reilmann
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CITY OF EDMONDS Mysu;laingPerrnit.com
Plumbing Application #819862 - Graphite Arts
Project Contact
Company Name: Silverdale Plumbing &
Heating, Inc.
Name: Dennis Dlugosh Email: dennis@silverdaleplumbing.com
Address: 11875 Silverdale Way Phone #: (360)692-8840 23
Silverdale WA 98383
Project Type Activity Type Scope of Work
Nonresidential New Plumbing
Project Name: Graphite Arts I
Description of Work: Underground plumbing only: underground, sanitary, storm & water supply within 5'
of outside of building.
Project Details
Type of Use
Work does NOT have med gas, commercial kitchen,
food svc, lab, medical, or dental use.
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Additional Project Information
Total number of fixtures being added or altered 42
Work Location
Work Description/Location (example: 1 st floor, 1st Floor.
Master Bath, Garage)
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