BLD2023-1547_Application_12.4.2023_12.09.17_PM_3931919CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1412226 - Edmonds Water leak
Applicant
First Name Last Name Company Name
Charles LeFevre
Number Street Apartment or Suite Number E-mail Address
926 Olympic Avenue chuckl@esquin.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 459-0485
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
926 OLYMPIC AVE
City Zip Code County Parcel Number
EDMONDS 98020 00548900002003
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
Charles Lefevre
Number Street Apartment or Suite Number
PO BOX 3791
City State Zip
SEATTLE WA 98124
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: 12/4/2023 Submitted By: Charles LeFevre
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1412226 - Edmonds Water leak
Project Contact
Company Name:
Name: Charles LeFevre Email: chuckl@esquin.com
Address: 926 Olympic Avenue Phone #: (206) 459-0485
Edmonds WA 98020
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Name: Edmonds Water leak
Description of Work: Replace broken pipe
Project Details
Scope of Work
Like for like equipment in the same location
Piping
Water Supply Piping 1
Work Location
Work Description/Location (example: 1 st floor, Outside SW corner of lot
Master Bath, Garage)
Existing Permits
There is or will be a building permit associated with
this work at the project location.
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