BLD2024-0882+Application+7.8.2024_10.41.22_AM+4361589CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1513817 -Lake Scriber School
Applicant
First Name Last Name Company Name
Patrick Dickinson Service Plumbinq and Heatinq Inc
Number Street Apartment or Suite Number E-mail Address
2100 196th St SW info(LD_serviceph.net
City State Zip Phone Number Extension
Lynnwood WA 98036 (425) 640-2121
Contractor
Company Name
SERVICE PLUMBING & HEATING INC
Number Street
Apartment or Suite Number
2100 196th St SW
City
State Zip
Phone Number Extension
Lynnwood
WA 98036
(425) 640-2121
State License Number
License Expiration Date
UBI # E-mail Address
SERVIPH797NR
11/3/2025
602238671 info(aD_serviceph.net
Project Location
Number Street
Floor Number Suite or Room Number
23200 100TH AVE W
1 Staff Lounqe
City
Zip Code
County Parcel Number
EDMONDS
98020
27033600202200
Associated Building Permit Number
Tenant Name
BLD2024-0345
Lake Scriber School
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Last Name or Company Name
EDMONDS SCHOOL DIST 15
Number Street Apartment or Suite Number
20420 68TH AVE W
City State Zip
LYNNWOOD WA 98036-7405
Certification Statement - The applicant states:
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.
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: 7/8/2024 Submitted By: Patrick Dickinson
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1513817 -Lake Scriber School
Project Contact
Company Name: Service Plumbing and Heating Inc
Name: Patrick Dickinson Email: derek@serviceph.net
Address: 2100 196th St SW Phone #: (425) 640-2121
Lynnwood WA 98036
Project Type
Nonresidential
Activity Type
New
Scope of Work
Plumbing
Project Name: Lake Scriber School
Description of Work: add toilet, lavatory and floor drain with trap primer to staff lounge. there is an existing
bathroom that we will be tying into about 6' away.
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Type of Use
Work does NOT have med gas, commercial kitchen,
food svc, lab, medical, or dental use.
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1 st floor,
Master Bath, Garage)
3
We will be adding 1 toilet, 1 lavatory and one floor drain
with trap primer. these will be installed about 6' from
existing bathroom. this is a private school.
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