BLD2021-1517_Application_11.6.2021_10.50.25_AM_2506567CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1046119 - Cox Residence
Applicant
First Name Last Name Company Name
Patrick Cox
Number Street Apartment or Suite Number E-mail Address
10602 243rd PI SW pgcox@msn.com
City State Zip Phone Number Extension
Edmonds WA 98062 2067132329
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
10602 243RD PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00564900103900
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
Patrick T & Erin M Cox
Number Street Apartment or Suite Number
10602 243RD PL SW
City State Zip
EDMONDS WA 98020
Certification Statement - The applicant states:
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: 11/6/2021 Submitted By: Patrick Cox
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1046119 - Cox Residence
Project Contact
Company Name:
Name: Patrick Cox Email: pgcox@msn.com
Address: 10602 243rd PI SW Phone #: 2067132329
Edmonds WA 98062
Project Type Activity Type
Single Family Residential New
Project Name: Cox Residence
Description of Work: install new gas piping for kicthen range
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Piping
Gas Piping Outlets - Plum 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, gas pipe/crawl space
Master Bath, Garage)
Scope of Work
Plumbing
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