Application_1495263CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1495263
Applicant
First Name Last Name Company Name
Brian Moll
Number Street Apartment or Suite Number E-mail Address
16121 N Meadowdale Rd brian.moll.se@gmail.com
City State Zip Phone Number Extension
EDMONDS WA 98026 (206) 351-2217
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
16119 N MEADOWDALE RD
City Zip Code County Parcel Number
EDMONDS 98026 00513300005001
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
Brian E Moll
Number Street Apartment or Suite Number
16121 N MEADOWDALE RD
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, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 5/28/2024 Submitted By: Brian Moll
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1495263
Project Type
Single Family Residential
Project Details
Activity Type
Repair or Replacement
Scope of Work
Like for like equipment in the same location
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is no other onsite work that requires a building
permit.
Scope of Work
Plumbing
Repair of leaking waterline adjacent to the water meter
under two very large trees in the City of Edmonds Right
of Way.
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