Application_BLD2022-1358CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1212124
Applicant
First Name Last Name Company Name
Christine Sage -Mullins Limitless Plumbing and Sewer, LLC
Number Street Apartment or Suite Number E-mail Address
18302 Andover St widdisps@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 870-2946
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
1020 4TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 00582000200205
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
David C & Nakagawa Jane R Chan
Number Street Apartment or Suite Number
1020 4TH AVE S
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, 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: 10/6/2022 Submitted By: Christine Sage -Mullins
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1212124
Project Type
Single Family Residential
Project Details
Piping
Piping - Water Service
Associated Building Permit?
Activity Type
Repair or Replacement
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Outside water line repair
Master Bath, Garage)
Scope of Work
Plumbing
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