Application_1059474CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1059474
Applicant
First Name Last Name
Patrick Dickinson
Company Name
Service Plumbing and Heating Inc
Number Street
2100 196th St SW
Apartment or Suite Number E-mail Address
info@serviceph.net
City State Zip
Lynnwood WA 98036
Phone Number Extension
4256402121
Contractor
Company Name
SERVICE PLUMBING & HEATING INC
Number Street
2100 196th St SW
Apartment or Suite Number
City State Zip
Lynnwood WA 98036
Phone Number Extension
(425) 640-2121
State License Number License Expiration Date
SERVIPH797NR 11/3/2023
UBI # E-mail Address
FD99'1R671 info@serviceph.net
Project Location
Number Street
9024 191 ST PL SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00434600003003
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
Krista M & Zanis Michael J Nichols
Number Street
9024 191 ST PL SW
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026-5944
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: 12/6/2021 Submitted By: Patrick Dickinson
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1059474
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Fixtures
Dishwasher
Ice Maker
Sinks
Sink
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1
1
Scope of Work
Plumbing
Replace kitchen sink, Dishwasher, Icemaker, Garbage
disposal
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