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Permit_983078CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI f17f171-nAQ.,i Issued Date 6/25/2021 Expiration Date 12/22/2021 Job Address 17303 72ND AVE W Fee Paid $108.15 EDMONDS, 98026 Order Confirmation 1073931 Floor Related Permit# 956897 Suite Application ID 983078 Contact Information Contact Name Erin Gross Contractor Owner Phone Number 2069498222 Property Owner LNI License # Mark F & Erin D Gross Address Phone # 17303 72ND AVE W EDMONDS, WA City Bus. License # Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Alteration) Mechanical project involving ( 1 Ventilation System) Whole house relocation of vent. Ducting in place and to remain 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: Erin Gross Page 1 of 2 t of EDAf 0 ,n�o CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI n9n91_nRA� Issued Date 6/25/2021 Job Address 17303 72ND AVE W Expiration Date 12/22/2021 Fee Paid $108.15 EDMONDS, 98026 Order Confirmation 1073931 Floor Related Permit# 956897 Suite Application ID 983078 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Gas Test/Pipe Mech Rough -in Mechanical 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