FIR2022-0055+Application+5.25.2022_7.15.56_AM+2891908CITY OF EDMONDS
Fire Application #1148298 - Jodar Lot 4
Applicant
First Name Last Name
maureen robertson
MyBuildingPermit.com
Company Name
Lakeside Plumbinq & Heatinq, Inc.
Number Street Apartment or Suite Number E-mail Address
17104 33rd Ave. N.E. PO Box 65266 lakesideph(cD_comcast.net
City State Zip
Seattle WA 98155
Contractor
Company Name
LAKESIDE PLUMBING & HTG INC
Number Street
17104 33rd Ave. N.E.
City State Zip
Seattle WA 98155
State License Number License Expiration Date UBI #
LAKESPH001 OA 9/1 /2023 602062777
Project Location
Number Street
8717 240TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00463301500400
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
(206) 363-4513
Apartment or Suite Number
PO Box 65266
Phone Number Extension
206-363-4513
E-mail Address
lakesideph(c)-comcast.net
Floor Number Suite or Room Number
First Name Last Name or Company Name
ADAMANT HOMES INC
Number Street Apartment or Suite Number
16108 ASH WAY 108
City State Zip
LYNNWOOD WA 98087
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: 5/25/2022 Submitted By: maureen robertson
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1148298 - Jodar Lot 4
Project Contact
Company Name: Lakeside Plumbing & Heating,
Inc.
Name: maureen robertson Email: lakesideph@comcast.net
Address: 17104 33rd Ave. N.E. PO Box Phone #: (206) 363-4513
65266
Seattle WA 98155
Project Type Activity Type Scope of Work
Single Family Residential New Fire Sprinkler Systems
Project Name: Jodar Lot 4
Description of Work: Installation of a fire sprinkler system in a single family residence.
Project Details
Fire System Type
NFPA 13D
Contact Information
Owner Email Address office@lakesideplumbingandheating.com
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