Application_2021-0973CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #991211
Applicant
First Name
Terry
Last Name Company Name
Clinton Fischer Plumbing Co Inc, The
Number Street
6608 220th st sw
Apartment or Suite Number E-mail Address
fpdsl@nwlink.com
City State
Mountlake terrace WA
Zip Phone Number Extension
98043 2067834129
Contractor
Company Name
Fischer Plumbing Co Inc, The
Number Street
1115 N.W. 51st St
Apartment or Suite Number
City
Seattle
State Zip Phone Number Extension
WA 98107 (206) 783-4129
State License Number
FISCHPC131 R1
License Expiration Date UBI # E-mail Address
2/22/2022 FD1 D5R75q fpdsl@nwlink.com
Project Location
Number Street
18118 85TH PL W
Floor Number Suite or Room Number
City
EDMONDS
Zip Code County Parcel Number
98026 00633100000500
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Jon M & Cooksey Rachel E
Last Name or Company Name
Brookshire
Number Street
18118 85TH PL W
Apartment or Suite Number
City
EDMONDS
State Zip
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: 7/14/2021 Submitted By: Terry Clinton
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #991211
Project Type
Single Family Residential
Project Details
Piping
Piping - Water Service
Water Supply Piping
Work Location
Activity Type
Repair or Replacement
Scope of Work
Plumbing
Work Description/Location (example: 1st floor, From water meter to the home
Master Bath, Garage)
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