Building Permit 2021Type: PLUMBING Subtype: COMMERCIAL PLUMBING I Status: ISSUED
Parcel No: 00826500000500 Site Address: 21327 76TH AVE W B5 EDMONDS,WA 98026-7532
Subdivision: 005012, 008754, 004504, 005807, 008265 Lot: 0
Fire Sprinklers: Lot Area: Zoning:
Valuation: $0.00 Occupancy Type: Construction Type:
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Scope of Work: PLUMBING -REPLACE HOT WATER HEATER IN GARAGE
Applied: 10/7/2021
Issued:10/8/2021
Final:
Expiration Date: 4/8/2022
Issued by: WAC
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001 1
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
CATHERINE SELIN
21327 76TH AVE. W. B5,
(206)930-5875
CCSELIN@MSN.COM
EDMONDS WA 98026
CONTACT
CATHERINE SELIN
21327 76TH AVE. W. B5,
(206)930-5875
ccselin@msn.com
EDMONDS WA 98026
CONTRACTOR
CONTRACTOR UNKNOWN
STRATFORD SQUARE-
21327 76TH AVE W B5,
OWNER
CORNEILIA & SELIN CAT
EDMONDS WA 98026
DURYEE
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID PAID DATE RECEIPT#
1 - BASE FEE FOR PLUMBING
001.000.322.10.000.00
$50.00
$50.00
10/7/21
R15216
PERMITS
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
10/7/21
R15216
PER PERMIT
WATER HEATER - INCLUDING
001.000.322.10.000.00
$15.00
$15.00
10/7/21
R15216
EXPANSION TANK
TOTALS: $105.00 $105.00
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Installation, use and maintenance of equipment and components shall be per
EQUIPMENT USAGE
FOR
manufacturer's specifications, installation instructions, and applicable state codes.
INFORMATION
Provide manufacture's installation instructions on site for Building Inspector.
FOR
GAS PIPE TEST
Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted
NFORMATION
Installation, use and maintenance of equipment and components shall be per
MANUFACTURER SPECS
FOR
manufacturers specifications, installation instructions, and applicable state codes.
INFORMATION
Provide manufactures installation instructions on site for Building Inspector.
INSPECTIONS - Schedule Online at: https://Inspection.MVBuildingPermit.com
COMPLETED
SEQID F INSPECTION TYPE INSPECTOR RESULT NOTES
DATE
Printed: Friday, October 08, 2021 8:42:54 AM 1 of 2
Printed: Friday, October 08, 2021 8:42:54 AM 2 of 2