Application_2022-0673CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1146943
Applicant
First Name Last Name Company Name
Sue Lane
Number Street Apartment or Suite Number E-mail Address
717 Pine St. katheryn@dirtcheapinc.com
City State Zip Phone Number Extension
Edmonds WA 98020 (425) 512-9652
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
717 PINE ST
City Zip Code County Parcel Number
EDMONDS 98020 27032500202300
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
Susan C Lane
Number Street Apartment or Suite Number
717 PINE ST
City State Zip
EDMONDS WA 98020-4030
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: 5/23/2022 Submitted By: Sue Lane
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1146943
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Scope of Work
Like for like equipment in the same location
Piping
Piping - Water Service
Water Supply Piping
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Scope of Work
Plumbing
Work Description/Location (example: 1 st floor, Exterior of home from meter to house.
Master Bath, Garage)
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