FIR2021-0154+Application+12.28.2021_11.14.58_AM+2593864CITY OF EDMONDS
MyBuildingPermit.com
Fire Application #1069498
- Edmonds 20114
Applicant
First Name
Last Name
Company Name
maureen
robertson
Lakeside Plumbinq & Heatinq, Inc.
Number Street
Apartment or Suite Number
E-mail Address
17104 33rd Ave. N.E.
PO Box 65266
lakesideph(.@_comcast.net
City State
Zip
Phone Number Extension
Seattle WA
98155
206-363-4513
Contractor
Company Name
LAKESIDE PLUMBING & HTG
INC
Number Street
Apartment or Suite Number
17104 33rd Ave. N.E.
PO Box 65266
City
State Zip
Phone Number Extension
Seattle
WA 98155
206-363-4513
State License Number
License Expiration Date UBI #
E-mail Address
LAKESPH001 OA
9/1 /2023 602062777
lakesideph(D_comcast.net
Project Location
Number Street
Floor Number Suite or Room Number
20114 83RD AVE W
City
Zip Code County Parcel Number
EDMONDS
98026 00431200000402
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
HomeCraft
Number Street Apartment or Suite Number
20114 83RD AVE 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: 12/28/2021 Submitted By: maureen robertson
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1069498 - Edmonds 20114
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
Single Family Residential
Activity Type Scope of Work
New Fire Sprinkler Systems
Project Name: Edmonds 20114
Description of Work: Fire sprinkler system installation, rough and trim.
Project Details
Fire System Type
NFPA 13D
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