Permit_2021-1390CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n91 _1 icin Issued Date
10/8/2021
Expiration Date
4/6/2022
Job Address
748 15TH WAY Fee Paid
$123.60
EDMONDS, 98020 Order Confirmation
1095983
Floor
Related Permit#
Suite
Application ID
1031814
Contact Information
Contact Name
Roger White Contractor
SUTTER HOME & HEARTH INC
Phone Number
(206) 783-9115
Property Owner
Trevor E & Mary Z Jazierski LNI License#
SUTTEHH132JM
Address
748 15TH WAY SW EDMONDS, WA Phone#
(206) 783-9115
City Bus. License #
600394791
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Mechanical project involving ( 1 Fireplace Insert - Gas)
1 st floor masonry fireplace.
Conditions - Post Permit on site. Do not cover until inspected.
If the appliance is fuel burning, install a carbon monoxide alarm outside each sleeping area and on each level of the
dwelling unit prior to the final inspection.
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: Drew Stancliffe
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CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9ngi-vicln
Issued Date
10/8/2021
Job Address
748 15TH WAY
Expiration Date
4/6/2022
Fee Paid
$123.60
EDMONDS, 98020
Order Confirmation
1095983
Floor
Related Permit#
Suite
Application ID
1031814
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.
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