BLD2023-1538_Application_11.30.2023_1.11.49_PM_3926869CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1411064 - Water main line leak repair
Applicant
First Name Last Name Company Name
Gene Merlino
Number Street Apartment or Suite Number E-mail Address
19927 81st PI W glmerlino@yahoo.com
City State Zip Phone Number Extension
Edmonds WA 98026 (619) 861-1245
Contractor
Company Name
Mill Creek Plumbing
Number Street Apartment or Suite Number
914 164th St SE #286
City State Zip Phone Number Extension
Mill Creek WA 98012 (425) 670-8818
State License Number License Expiration Date UBI # E-mail Address
MILLCP*926NE 9/5/2024 FD9DiSR9 1 glmerlino@yahoo.com
Project Location
Number Street Floor Number Suite or Room Number
19927 81ST PL W
City Zip Code County Parcel Number
EDMONDS 98026 00603400000100
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
Gene & Anderson Gwen Merlino
Number Street Apartment or Suite Number
19927 81ST PL W
City State Zip
EDMONDS WA 98026
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: 11/30/2023 Submitted By: Gene Merlino
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1411064 - Water main line leak repair
Project Contact
Company Name:
Name:
Address:
Gene Merlino
19927 81 st PI W
Edmonds WA 98026
Email: glmerlino@yahoo.com
Phone #: (619) 861-1245
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Name: Water main line leak repair
Description of Work: Repair leak in water line that goes from main source to house.
Project Details
Scope of Work
Like for like equipment in the same location
Piping
Water Line Re -Pipe
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
Outside water line from main to house. South side of
house next to tree stump.
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