BLD2023-0500_Application_4.21.2023_2.49.20_PM_3498625CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1303099 - remodel
Applicant
First Name Last Name Company Name
KEITH Stevens Archies Plumbing Service
Number Street Apartment or Suite Number E-mail Address
PO BOX 55778 archiesplumbing@outlook.com
City State Zip Phone Number Extension
SHORELINE WA 98155 (206) 782-8787
Contractor
Company Name
ARCHIE'S PLUMBING SERVICE INC
Number Street Apartment or Suite Number
PO BOX 55778
City State Zip Phone Number Extension
SHORELINE WA 98155 2067828787
State License Number License Expiration Date UBI # E-mail Address
ARCHIPS783M9 7/11/2024 FDD44gg61 archiesplumbing@outlook.com
Project Location
Number Street Floor Number Suite or Room Number
8526 216TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00554000000200
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
William Berry lii & Kathleen Potter Wilson
Number Street Apartment or Suite Number
8526 216TH ST SW
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: 4/21/2023 Submitted By: KEITH Stevens
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1303099 - remodel
Project Contact
Company Name: Archies Plumbing Service
Name: KEITH Stevens Email: archiesplumbing@outlook.com
Address: PO BOX 55778 Phone #: (206) 782-8787
SHORELINE WA 98155
Project Type Activity Type Scope of Work
Single Family Residential Alteration Plumbing
Project Name: remodel
Description of Work: plumbing
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Dishwasher
1
Ice Maker
1
Shower, Tub or Combo
1
Toilet
1
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
Work Description/Location (example: 1st floor,
kitchen and bath
Master Bath, Garage)
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