Application_1085404CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1085404
Applicant
First Name Last Name
Shayli Sutton
Company Name
The Plumbing Physician
Number Street
PO Box 2213
Apartment or Suite Number E-mail Address
plumbphy@aol.com
City State Zip
Lynnwood WA 98036
Phone Number Extension
4257716200
Contractor
Company Name
PLUMBING PHYSICIAN, THE
Number Street
PO Box 2213
Apartment or Suite Number
City State Zip
Lynnwood WA 98036
Phone Number Extension
(425) 771-6200
State License Number License Expiration Date
PLUMBP*792PD 10/1/2023
UBI # E-mail Address
BD17(1f1917 plumbphy@aol.com
Project Location
Number Street
9323 216TH ST SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00545600000300
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
Jeremy Mitchell
Number Street
9323 216TH ST SW
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: 2/1/2022 Submitted By: Shayli Sutton
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1085404
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Details
Scope of Work
Like for like equipment in the same location
Drains
Floor Drain
1
Fixtures
Clothes Washer
1
Dishwasher
1
Hose Bib
3
Ice Maker
1
Shower, Tub or Combo
3
Toilet
3
Water Heater - Gas Mechanical
1
Sinks
Sink
4
Piping
Gas Piping Outlets - Plum
1
Piping - Water Service
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Other
Back Water Valve
1
Work Location
Work Description/Location (example: 1st floor,
Repipe through entire house
Master Bath, Garage)
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