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Application_1035335CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1035335 Applicant First Name Terry Last Name Clinton Company Name Fischer Plumbing Co Inc, The Number Street 6608 220th st sw Apartment or Suite Number E-mail Address fpdsl@nwlink.com City State Mountlake terrace WA Zip 98043 Phone Number Extension 2067834129 Contractor Company Name Fischer Plumbing Co Inc, The Number Street 1115 N.W. 51st St Apartment or Suite Number City Seattle State Zip WA 98107 Phone Number Extension (206) 783-4129 State License Number FISCHPC131 R1 License Expiration Date 2/22/2022 UBI # E-mail Address FD1 D5R75q fpdsl@nwlink.com Project Location Number Street 1010 SPRUCE ST Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 27032500103200 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Daniel E Last Name or Company Name Westley Number Street 1010 SPRUCE ST Apartment or Suite Number City EDMONDS State 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: 10/14/2021 Submitted By: Terry Clinton Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1035335 Project Type Single Family Residential Project Details Piping Piping - Water Service Work Location Activity Type Repair or Replacement Work Description/Location (example: 1 st floor, Meter To the House Master Bath, Garage) Scope of Work Plumbing Page 2 of 2