BLD2024-1460_Application_11.5.2024_1.35.24_PM_4602733CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1573976 - Fulton
Applicant
First Name Last Name Company Name
Jeffrey Nelson MX Plumbing, Inc.
Number Street Apartment or Suite Number E-mail Address
9646 15th PL SE mxplumbing@gmail.com
City State Zip Phone Number Extension
Lake Stevens WA 98258 (206) 818-1187
Contractor
Company Name
MX PLUMBING INC
Number Street Apartment or Suite Number
9646 15th PL SE
City State Zip Phone Number Extension
Lake Stevens WA 98258 (206) 818-1187
State License Number License Expiration Date UBI # E-mail Address
MXPLUP1777JJ 4/21/2025 FDiD9.1847 mxplumbing@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
321 ERBEN DR
City Zip Code County Parcel Number
EDMONDS 98020 00409600101100
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
Jay A & Merri Keefer Fulton
Number Street Apartment or Suite Number
7628 222ND ST SW A3
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: 11/5/2024 Submitted By: Jeffrey Nelson
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1573976 - Fulton
Project Contact
Company Name: MX Plumbing, Inc.
Name: Jeffrey Nelson Email: mxplumbing@gmail.com
Address: 9646 15th PL SE Phone #: (206) 818-1187
Lake Stevens WA 98258
Project Type
Single Family Residential
Activity Type Scope of Work
New Plumbing
Project Name: Fulton
Description of Work: New Residential House/Plumbing
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Clothes Washer
Dishwasher
Hose Bib
Shower, Tub or Combo
Toilet
Hot Water Heater
Sinks
Sink
Other
Funnel Drain
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Existing Permits
There is or will be a building permit associated with
this work at the project location.
1
1
2
2
3
1
Aq
1
New Residential House
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