Application_1165616CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1165616
Applicant
First Name Last Name Company Name
George Fox
Number Street Apartment or Suite Number E-mail Address
2210 37th St. lorifox@mlfoxconstruction.com
City State Zip Phone Number Extension
Everett WA 98201 (425) 397-6965
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
317 ELM ST
City Zip Code County Parcel Number
EDMONDS 98020 00582000201002
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
Lori Fox
Number Street Apartment or Suite Number
2210 37TH ST
City State Zip
EVERETT WA 98201-4509
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: 6/28/2022 Submitted By: George Fox
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1165616
Project Type Activity Type Scope of Work
Single Family Residential New Plumbing
Project Details
Piping
Piping - Water Service
Water Supply Piping 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, front yard
Master Bath, Garage)
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