Application_22022-0096CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1081272
Applicant
First Name Last Name
TYLER BROWN
Company Name
Green Planet Plbg & Swr LLC
Number Street
2701 California Ave SW
Apartment or Suite Number E-mail Address
Ste 224 Tylerjbrown@mac.com
City State Zip
Seattle WA 98116
Phone Number Extension
(206) 890-7458
Contractor
Company Name
Green Planet Plbg & Swr LLC
Number Street
2701 California Ave SW
Apartment or Suite Number
Ste 224
City State Zip
Seattle WA 98116
Phone Number Extension
(206) 890-7458
State License Number License Expiration Date
GREENPP791 R3 1/20/2024
UBI # E-mail Address
F;ni i F61,1 Tylerjbrown@mac.com
Project Location
Number Street
700 ELM ST
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00639600000100
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
Larry A li\clement Teresa L Pierce
Number Street
700 ELM ST
Apartment or Suite Number
City State
EDMONDS 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: 1/26/2022 Submitted By: TYLER BROWN
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1081272
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Details
Piping
Piping - Water Service
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Yard
Master Bath, Garage)
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