BLD2024-0141_Application_2.1.2024_1.20.11_PM_4034789CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1436783 - Backflow replacement
Applicant
First Name Last Name Company Name
MIKE'S PLUMBING MIKE'S PLUMBING
Number Street Apartment or Suite Number E-mail Address
21010 70th Ave W info@mikesplumbinganddrain.com
City State Zip Phone Number Extension
EDMONDS WA 98026 (425) 775-0201
Contractor
Company Name
MIKES PLUMBING/DRAIN CLEANING
Number Street Apartment or Suite Number
21010 70th Ave W
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 775-0201
State License Number License Expiration Date UBI # E-mail Address
MIKESPD795MO 12/1/2025 BD9114ins info@mikespiumbinganddrain.com
Project Location
Number Street Floor Number Suite or Room Number
21010 70TH AVE W outside parking none
City Zip Code County Parcel Number
EDMONDS 98026 00566900600102
Associated Building Permit Number Tenant Name
Mike's Plumbing
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Nicole MARINEZ RE GROUP LLC
Number Street Apartment or Suite Number
1103 12th Ave N
City State Zip
Edmonds WA 98020-2512
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: 2/1/2024 Submitted By: MIKE'S PLUMBING
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1436783 - Backflow replacement
Project Contact
Company Name: MIKE'S PLUMBING
Name: MIKE'S PLUMBING Email: info@mikesplumbinganddrain.com
Address: 21010 70th Ave W Phone #: (425) 775-0201
EDMONDS WA 98026
Project Type
Nonresidential
Activity Type
Repair or Replacement
Project Name: Backflow replacement
Description of Work: Replace backflow assembly - like for like
Project Details
Scope of Work
Like for like equipment in the same location
Type of Use
Work does NOT have med gas, commercial kitchen,
food svc, lab, medical, or dental use.
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Scope of Work
Plumbing
replacement of backflow assembly in gated parked area
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