BLD2022-1673_Application_12.9.2022_11.33.08_AM_3261270CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1236428 - Water line replacement
Applicant
First Name Last Name Company Name
Erin Greene
Number Street Apartment or Suite Number E-mail Address
18508 90th Ave W eringreene30@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 (253) 732-6564
Contractor
Company Name
OMNI CONTRACTING SOLUTIONS LLC
Number Street Apartment or Suite Number
3726 Broadway Suite 301
City State Zip Phone Number Extension
EVERETT WA 98201 (425)6104961
State License Number License Expiration Date UBI # E-mail Address
OMNICCS871 M4 7/24/2023 F;ni ii 4D74 Chris@omnics.com
Project Location
Number Street Floor Number Suite or Room Number
18508 90TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00638500000400
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
Justin R Greene
Number Street Apartment or Suite Number
18508 90TH AVE W
City State Zip
EDMONDS WA 98026-5715
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: 12/9/2022 Submitted By: Erin Greene
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1236428 - Water line replacement
Project Contact
Company Name:
Name:
Address:
Erin Greene
18508 90th Ave W
Edmonds WA 98026
Project Type
Single Family Residential
Email: eringreene30@gmail.com
Phone #: (253) 732-6564
Activity Type
Repair or Replacement
Project Name: Water line replacement
Description of Work: Water line replacement
Project Details
Scope of Work
Like for like equipment in the same location
Piping
Water Line Re -Pipe
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Work Location
Scope of Work
Plumbing
Work Description/Location (example: 1 st floor, Front yard (water line replacement starting from Meter
Master Bath, Garage) and heading to to the house), and the Garage (where
main line comes into the house).
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