Application_2021-0781CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #974602
Applicant
First Name Last Name Company Name
Mark Langford
Number Street Apartment or Suite Number E-mail Address
211 5th Ave S. markl@intuitiveintegration.com
City State Zip Phone Number Extension
Edmonds WA 99020 2069199473
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
211 5TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 00434400200300
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
Mark D & Marcella V Langford
Number Street Apartment or Suite Number
211 5TH AVE N
City State Zip
EDMONDS WA 98020
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: 6/8/2021 Submitted By: Mark Langford
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #974602
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Plumbing
Project Details
Piping
Piping - Water Service
Work Location
Work Description/Location (example: 1 st floor, 211 5th Ave Front yard to meter in side wall
Master Bath, Garage)
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