Application_1211041CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1211041
Applicant
First Name Last Name Company Name
Alice Anderson BROOKSIDE PLBG & PIPEWORKS LTD
Number Street Apartment or Suite Number E-mail Address
5400 152nd Ave SE brooksideplum@yahoo.com
City State Zip Phone Number Extension
Snohomish WA 98090 (425) 985-0521
Contractor
Company Name
BROOKSIDE PLBG & PIPEWORKS LTD
Number Street Apartment or Suite Number
5400 152ND AVE SE
City State Zip Phone Number Extension
SNOHOMISH WA 98290 (425)985-0521
State License Number License Expiration Date UBI # E-mail Address
BROOKPP791 R1 1 /3/2024 FD414in74 brooksideplum@yahoo.com
Project Location
Number Street Floor Number Suite or Room Number
1218 OLYMPIC AVE
City Zip Code County Parcel Number
EDMONDS 98020 00606600000501
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 Shneidman
Number Street Apartment or Suite Number
17356 BEACH DR NE
City State Zip
LAKE FOREST PARK WA 98155
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: 10/18/2022 Submitted By: Alice Anderson
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1211041
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
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.
Other
Sewer repair
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Outside back of house
Scope of Work
Plumbing
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