Application_2021-1027CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #995639
Applicant
First Name Last Name
Julie Thomas
Company Name
Number Street
1015 Bell Street
Apartment or Suite Number E-mail Address
mossley@aol.com
City State Zip
Edmonds WA 98020
Phone Number Extension
425-478-5879
Contractor
Company Name
Master Bore LLC
Number Street
P.O. BOX 794
Apartment or Suite Number
City State Zip
Renton WA 98057
Phone Number Extension
(206) 578-7982 (425) 399-2711
State License Number License Expiration Date
MASTEBL837M8 7/28/2021
UBI # E-mail Address
5D41 D75qq omar@masterbore.com
Project Location
Number Street
1015 BELL ST
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00434204103500
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
Dorothy Thomas
Number Street
1015 BELL ST
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020-2903
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: 7/23/2021 Submitted By: Julie Thomas
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #995639
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: 1 st floor, Pipe from city water meter to house copper inlet pipe
Master Bath, Garage)
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