Application_1250639CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1250639
Applicant
First Name Last Name Company Name
Mike Chadderton
Number Street Apartment or Suite Number E-mail Address
21909 84th Ave W info@thedraindoctors.net
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 337-0735
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
21909 84TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27043000107000
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
M D Chadderton
Number Street Apartment or Suite Number
21909 84TH AVE W
City State Zip
EDMONDS WA 98026-7821
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: 1/6/2023 Submitted By: Mike Chadderton
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1250639
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, Replaced water service line from meter to house
Master Bath, Garage)
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