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CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n91-1 1 An Issued Date
8/18/2021
Expiration Date
2/14/2022
Job Address
18300 ANDOVER ST Fee Paid
$154.50
EDMONDS, 98026 Order Confirmation
1085191
Floor
Related Permit#
Suite
Application ID
1007215
Contact Information
Contact Name
TOM KIMBALL Contractor
KIMBALL MECHANICAL
Phone Number
(425) 864-4745
Property Owner
Shellane &Barry Adams LNI License #
KI MBAM*946M 1
Address
18300 ANDOVER ST EDMONDS, Phone#
(425) 864-4745
WA City Bus. License #
602511831
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Alteration) Mechanical project involving ( 2 BBQ, fire pit)
to run gas for 1x bbq and 1x fire pit
Conditions - Post Permit on site. Do not cover until inspected.
BBQ, fire pit
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: TOM KIMBALL
Page 1 of 2
t of EDAf
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1;�_-o
CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9ng 1-1 1 An
Issued Date
8/18/2021
Job Address
18300 ANDOVER ST
Expiration Date
2/14/2022
Fee Paid
$154.50
EDMONDS, 98026
Order Confirmation
1085191
Floor
Related Permit#
Suite
Application ID
1007215
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
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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.
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Follow the jurisdiction's construction hours and noise restrictions.
Page 2 of 2