BLD2023-1144_Application_9.11.2023_2.34.52_PM_3776050CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1374391 - Goerlich Residence
Applicant
First Name Last Name Company Name
Jeffrey Nelson MX Plumbing, Inc.
Number Street Apartment or Suite Number E-mail Address
9646 15th PL SE mxplumbing@gmail.com
City State Zip Phone Number Extension
Lake Stevens WA 98258 (206) 818-1187
Contractor
Company Name
MX PLUMBING INC
Number Street Apartment or Suite Number
9646 15th PL SE
City State Zip Phone Number Extension
Lake Stevens WA 98020 (206) 818-1187
State License Number License Expiration Date UBI # E-mail Address
MXPLUP1777JJ 4/21/2025 FDiD9.1847 mxplumbing@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
9626 216TH PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00559700300100
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
Patricia M Goerlich
Number Street Apartment or Suite Number
9626 216TH PL SW
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. 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: 9/11/2023 Submitted By: Jeffrey Nelson
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1374391 - Goerlich Residence
Project Contact
Company Name: MX Plumbing, Inc.
Name: Jeffrey Nelson Email: mxplumbing@gmail.com
Address: 9646 15th PL SE Phone #: (206) 818-1187
Lake Stevens WA 98258
Project Type
Single Family Residential
Activity Type
Alteration
Project Name: Goerlich Residence
Description of Work: Bathroom addition in master bedroom
Project Details
Fixtures
Hose Bib
Shower, Tub or Combo
Toilet
Sinks
Sink
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,
Master Bath, Garage)
1
1
1
2
Scope of Work
Plumbing
New bathroom addition in master bedroom.
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