BLD2022-0009_Application_1.4.2022_1.16.45_PM_2602193CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1071695 - Blackstone
Applicant
First Name Last Name Company Name
Patrick Dickinson Service Plumbing and Heating Inc
Number Street Apartment or Suite Number E-mail Address
2100 196th St SW info@serviceph.net
City State Zip Phone Number Extension
Lynnwood WA 98036 4256402121
Contractor
Company Name
SERVICE PLUMBING & HEATING INC
Number Street Apartment or Suite Number
2100 196th St SW
City State Zip Phone Number Extension
Lynnwood WA 98036 (425) 640-2121
State License Number License Expiration Date UBI # E-mail Address
SERVIPH797NR 11/3/2023 FD99'1R671 info@serviceph.net
Project Location
Number Street Floor Number Suite or Room Number
523 MAPLE ST 101
City Zip Code County Parcel Number
EDMONDS 98020 00642900000100
Associated Building Permit Number Tenant Name
Blackstone-Altwegg
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Ellen Ann & Altwegg Christopher Blackstone
Number Street Apartment or Suite Number
8203 38TH AVE NE
City State Zip
SEATTLE WA 98115
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: 1/4/2022 Submitted By: Patrick Dickinson
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1071695 - Blackstone
Project Contact
Company Name: Service Plumbing and Heating Inc
Name: Patrick Dickinson Email: info@serviceph.net
Address: 2100 196th St SW Phone #: 4256402121
Lynnwood WA 98036
Project Type
Multifamily Residential
Activity Type
Repair or Replacement
Scope of Work
Plumbing
Project Name: Blackstone
Description of Work: Kitchen sink, dishwasher, hose bib, shower, water closet, lavatory, power room
lavatory, water closet, water heater
Project Details
Scope of Work
Like for like equipment in the same location
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Work to be performed by a licensed contractor
Yes
10
Kitchen, Master Bath, Powder Room, Hot Water
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