BLD2022-1013_Application_8.1.2022_12.51.51_PM_3024747CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1181521 - Repipe
Applicant
First Name Last Name Company Name
Terry Clinton Fischer Plumbing Co Inc, The
Number Street Apartment or Suite Number E-mail Address
6608 220th st sw fpdsl@nwlink.com
City State Zip Phone Number Extension
Mountlake terrace WA 98043 (206) 783-4129
Contractor
Company Name
Fischer Plumbing Co Inc, The
Number Street Apartment or Suite Number
6608 220th ST SW
City State Zip Phone Number Extension
Mountlake Terrace WA 98043 (206) 783-4129
State License Number License Expiration Date UBI # E-mail Address
FISCHPC7920S 9/1/2023 FD1 D5R75q fpdsl@nwlink.com
Project Location
Number Street Floor Number Suite or Room Number
550 ELM WAY 1 st 102
City Zip Code County Parcel Number
EDMONDS 98020 00836300110200
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
Loren Forsberg
Number Street Apartment or Suite Number
520 12TH AVE N
City State Zip
EDMONDS WA 98020
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: 8/1/2022 Submitted By: Terry Clinton
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1181521 - Repipe
Project Contact
Company Name: Fischer Plumbing Co Inc, The
Name: Terry Clinton Email: fpdsl@nwlink.com
Address: 6608 220th st sw Phone #: (206) 783-4129
Mountlake terrace WA 98043
Project Type
Multifamily Residential
Activity Type
Repair or Replacement
Project Name: Repipe
Description of Work: Replace failing water and drain piping inside unit
Project Details
Scope of Work
Like for like equipment in the same location
Associated Building Permit?
There is no other onsite work that requires a building
permit.
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
5
Bathroom & Kitchen
Scope of Work
Plumbing
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