Application_BLD2023-0512CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1304757
Applicant
First Name Last Name
Patrick Dickinson
Company Name
Service Plumbing and Heating Inc
Number Street
2100 196th St SW
Apartment or Suite Number E-mail Address
info@serviceph.net
City State Zip
Lynnwood WA 98036
Phone Number Extension
(425) 640-2121
Contractor
Company Name
SERVICE PLUMBING & HEATING INC
Number Street
2100 196th St SW
Apartment or Suite Number
City State Zip
Lynnwood WA 98036
Phone Number Extension
(425) 640-2121
State License Number License Expiration Date
SERVIPH797NR 11/3/2023
UBI # E-mail Address
FD99'1R671 info@serviceph.net
Project Location
Number Street
1124 A AVE S
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00619400700301
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
Legolas\house Angela Palmer
Number Street
1124 A AVE S
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: 4/25/2023 Submitted By: Patrick Dickinson
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1304757
Project Type
Single Family Residential
Project Details
Fixtures
Dishwasher
Shower, Tub or Combo
Toilet
Sinks
Sink
Activity Type
Repair or Replacement
Piping
Gas Piping Outlets - Plum
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
3
2
3
1
Scope of Work
Plumbing
Kitchen, Primary Bath, Hall Bath
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