Application_2021-1389CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1031810
Applicant
First Name Last Name
Jeff Stollwerck
Company Name
Stollwerck Plumbing & Sewer LLC
Number Street
611 5th Street
Apartment or Suite Number E-mail Address
B jd@stollwerckplumbing.com
City State Zip
Mukilteo WA 98275
Phone Number Extension
4253743909
Contractor
Company Name
Stollwerck Plumbing LLC
Number Street
3906 68th Dr NE
Apartment or Suite Number
City State Zip
Marysville WA 98270
Phone Number Extension
(206) 302-8382
State License Number License Expiration Date
STOLLPL880MC 8/5/2022
UBI # E-mail Address
Fn.'19n 31 D4 jd@stollwerckplumbing.com
Project Location
Number Street
8532 FREDERICK PL
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00594400005801
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
Michael & Nancy Katims
Number Street
8532 FREDERICK PL
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026
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: 10/8/2021 Submitted By: Jeff Stollwerck
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1031810
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Fixtures
Shower, Tub or Combo 1
Toilet 1
Work Location
Work Description/Location (example: 1st floor, Main Bath
Master Bath, Garage)
Scope of Work
Plumbing
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