Application_BLD2023-0549CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1310341
Applicant
First Name Last Name Company Name
MIKE'S PLUMBING MIKE'S PLUMBING
Number Street Apartment or Suite Number E-mail Address
PO Box 1535 info@mikesplumbinganddrain.com
City State Zip Phone Number Extension
EDMONDS WA 98020 (425) 775-0201
Contractor
Company Name
MIKE'S PLUMBING & DRAIN CLNG
Number Street Apartment or Suite Number
PO Box 1535
City State Zip Phone Number Extension
Edmonds WA 98020-1535 (425) 775-0201
State License Number License Expiration Date UBI # E-mail Address
MIKESPD795MO 12/1/2023 BD9114ins info@mikespiumbinganddrain.com
Project Location
Number Street Floor Number Suite or Room Number
1103 12TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 00548900002706
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
Miguel & Marinez Nicole Marinez
Number Street Apartment or Suite Number
1103 12TH AVE N
City State Zip
EDMONDS WA 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: 5/4/2023 Submitted By: MIKE'S PLUMBING
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CITY OF EDMONDS MyBuitdingPermit.com
Plumbing Application #1310341
Project Type
Single Family Residential
Project Details
Piping
Piping - Water Service
Associated Building Permit?
Activity Type
Repair or Replacement
There is no other onsite work that requires a building
permit.
Work Location
Scope of Work
Plumbing
Work Description/Location (example: 1 st floor, Replace water service line from meter to house
Master Bath, Garage)
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