BLD2022-1190_Application_9.7.2022_11.42.44_AM_3094021CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1198455 - Hezer Plumbing Permit
Applicant
First Name Last Name Company Name
Brett Herzer
Number Street Apartment or Suite Number E-mail Address
16209 74th PI W bherzer@windermere.com
City State Zip Phone Number Extension
Edmonds WA 98026 (206) 261-7676
Contractor
Company Name
COMPLETE EXCAVATING LLC
Number Street Apartment or Suite Number
PO BOX 1275
City State Zip Phone Number Extension
LAKE STEVENS WA 98258 (425) 346-7562
State License Number License Expiration Date UBI # E-mail Address
COMPLEL82205 10/10/2022 FD4,vi19D4 justin@completeex.com
Project Location
Number Street Floor Number Suite or Room Number
16209 74TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00513100006600
Associated Building Permit Number Tenant Name
PLN2021-0034
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Brett H & Cheri M Herzer
Number Street Apartment or Suite Number
16209 75TH PL W
City State Zip
EDMONDS WA 98026
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: 9/7/2022 Submitted By: Brett Herzer
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1198455 - Hezer Plumbing Permit
Project Contact
Company Name: PLCet Sound Planning,
Name: Lee Michaelis
Address: 6100 219th St SW
Suite 480
Mountlake Terrace WA
98043
Project Type
Single Family Residential
Email: lee.michaelis@pugetsoundplannin.com
Phone #: (425) 830-1046
Activity Type Scope of Work
New Plumbing
Project Name: Hezer Plumbing Permit
Description of Work: Disconnect water line for house located at 16213 74th PI W from house located at 16209
74th PI W and connect to new water meter applied for under ENG2022-0449.
Project Details
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Work Location
Work Description/Location (example: 1 st floor, New water service line for an existing house that will be
Master Bath, Garage) on Lot 2 of the Herzer Short Plat. New address for this
lot is 16213 74th Ave W
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