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Permit_2021-0721CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI f17f171-n771 Issued Date 5/26/2021 Expiration Date 11 /22/2021 Job Address 641 HEMLOCK WAY Fee Paid $123.60 EDMONDS, 98020 Order Confirmation 1067642 Floor Related Permit# Suite Application ID 969027 Contact Information Contact Name Ron Tosh Contractor Owner Phone Number 4255089478 Property Owner LNI License # Connie Winings Address Phone # 641 HEMLOCK WAY EDMONDS, WA City Bus. License # Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Water Supply Piping, Piping - Water Service) Front yard Conditions - Post Permit on site. Do not cover until inspected. Plumbing contractor license laws are regulated by Chapter 18.106 RCW. Property owners who hire an unlicensed plumber may assume the risks and potential monetary liability for work performed by unlicensed plumbing contractors. For more information contact L&I Department of Licensing at 1-800-647-0982. 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. Applicant: Ron Tosh Page 1 of 2 CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n9 1 _n79 1 Issued Date 5/26/2021 Job Address 641 HEMLOCK WAY Expiration Date 11/22/2021 Fee Paid $123.60 EDMONDS, 98020 Order Confirmation 1067642 Floor Related Permit# Suite Application ID 969027 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough In Plumbing Plumbing Final Inspection Scheduling (425) 771-0220 or www.MyBuildingPermit.com ❑�❑� r Subject to any and all conditions as listed on Page 1 of this document. Re -inspection fees may apply if work is not ready for a requested inspection. �■ Follow the jurisdiction's construction hours and noise restrictions. Page 2 of 2