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Application_1196967CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1196967 Applicant First Name Last Name Terry Clinton Company Name Fischer Plumbing Co Inc, The Number Street 6608 220th st sw Apartment or Suite Number E-mail Address fpdsl@nwlink.com City State Zip Mountlake terrace WA 98043 Phone Number Extension (206) 783-4129 Contractor Company Name Fischer Plumbing Co Inc, The Number Street 6608 220th ST SW Apartment or Suite Number City State Zip Mountlake Terrace WA 98043 Phone Number Extension (206) 783-4129 State License Number License Expiration Date FISCHPC7920S 9/1/2023 UBI # E-mail Address RD1 D5R75q fpdsl@nwlink.com Project Location Number Street 723 CASPERS ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032400219500 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 Lora Kate Nichols Number Street 723 CASPERS ST Apartment or Suite Number City State EDMONDS WA Zip 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: 9/2/2022 Submitted By: Terry Clinton Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1196967 Project Type Single Family Residential Project Details Piping Water Supply Piping Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, Exterior water service Master Bath, Garage) Scope of Work Plumbing Page 2 of 2