BLD2022-1497_Application_11.1.2022_2.43.24_PM_3197464CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1223989 - Niebruegge 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 98258 (206) 818-1187
State License Number License Expiration Date UBI # E-mail Address
MXPLUP17940A 8/31/2023 Rnin9.3847 mxplumbing@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
19209 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98020 00434600008302
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
Bret & Jesse Niebrudgge
Number Street Apartment or Suite Number
19209 OLYMPIC VIEW DR
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: 11/1/2022 Submitted By: Jeffrey Nelson
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1223989 - Niebruegge 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: Niebruegge Residence
Description of Work: Plumbing work located above garage
Project Details
Scope of Work
Plumbing
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Shower, Tub or Combo 1
Toilet 1
Hot Water Heater 1
Sinks
Sink 2
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: 1 st floor, Over the top of the garage
Master Bath, Garage)
Page 2 of 2