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Application_BLD2022-1597CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1232275 Applicant First Name Terry Last Name Clinton Company Name Fischer Plumbing Co Inc, The Number Street 6608 220th st sw Apartment or Suite Number E-mail Address fpdsl@nwlink.com City State Mountlake terrace WA Zip 98043 Phone Number Extension (206) 783-4129 Contractor Company Name Fischer Plumbing Co Inc, The Number Street 6608 220th ST SW Apartment or Suite Number City Mountlake Terrace State Zip WA 98043 Phone Number Extension (206) 783-4129 State License Number FISCHPC7920S License Expiration Date 9/1/2023 UBI # E-mail Address FD1 D5R75q fpdsl@nwlink.com Project Location Number Street 1120 2ND AVE S Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00762700000300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Allison Last Name or Company Name Brown Number Street 1120 2ND AVE S Apartment or Suite Number City EDMONDS State WA Zip 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: 11/18/2022 Submitted By: Terry Clinton Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1232275 Project Type Single Family Residential Project Details Activity Type Repair or Replacement Scope of Work Like for like equipment in the same location Piping Piping - Water Service Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Scope of Work Plumbing Work Description/Location (example: 1 st floor, Repair of existing water service line between meter and Master Bath, Garage) home. Page 2 of 2