BLD2021-1523_Application_11.9.2021_6.09.14_PM_2512028CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1047556 - Jackson/ Holmstad's
Applicant
First Name Last Name Company Name
Barbara Selfridge Holmstad's Plumbing Inc.
Number Street Apartment or Suite Number E-mail Address
PO box 5635 barbaraselfridge@gmail.com
City State Zip Phone Number Extension
Everett WA 98206 (425) 259-9131
Contractor
Company Name
HOLMSTAD'S PLUMBING INC
Number Street Apartment or Suite Number
2712 Coho Ln
City State Zip Phone Number Extension
ANACORTES WA 98221 3602021428 3602021428
State License Number License Expiration Date UBI # E-mail Address
HOLMSP1005M9 3/10/2023 BDgD11174 barbaraselfridge@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
18709 88TH AVE W n/a
City Zip Code County Parcel Number
EDMONDS 98026 00434600001604
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
John & Gail Jackson
Number Street Apartment or Suite Number
7522 S TONGASS HW
City State Zip
KETCH ICAN AK 99901
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: 11/9/2021 Submitted By: Barbara Selfridge
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1047556 - Jackson/ Holmstad's
Project Contact
Company Name: Holmstad's Plumbing Inc.
Name: BARBARA SELFRIDGE Email: barbaraselfridge@gmail.com
Address: 2712 Coho Ln Phone #: 3602021428
ANACORTES WA 98221
Project Type Activity Type Scope of Work
Single Family Condominium Unit Repair or Replacement Plumbing
Project Name: Jackson/ Holmstad's
Description of Work: repipe whole house repipe
Project Details
Scope of Work
Like for like equipment in the same location
Additional Project Information
Total number of fixtures being added or altered 11
Work Location
Work Description/Location (example: 1 st floor, 1 st floor repipe
Master Bath, Garage)
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