Building Permit 2021 (2)Type: 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 #: SOUTHWP8070J City of Edmonds Business License #: 602454996-001-0001 1
CONTACTSji
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
2401 SW ALASKA ST, SEATTLE
PERMITS@SOUTHWESTPLUMBING.BI
CONTRACTOR
SOUTH WEST PLUMBING
(206)498-4480
WA 98106-
Z
STRATFORD SQUARE-
21327 76TH AVE W B5,
OWNER
CORNEILIA & SELIN CAT
EDMONDS WA 98026
DURYEE
FEE
•' •
DESCRIPTION
CCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
1 - BASE FEE FOR PLUMBING
.322.10.000.00
$50.00 $50.00
10/7/21
R15216
PERMITS
CITY TECHNOLOGY FEE CHARGED
0071.000.321.99.100.00
$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
• Ifflwe Mk
CONDITION TYPE
STATUS
NOTES
Installation, use and maintenance of equipment and components shall be per
FOR
EQUIPMENT USAGE
manufacturer's specifications, installation instructions, and applicable state codes.
INFORMATION
Provide manufacture's installation instructions on site for Building Inspector.
GAS PIPE TEST
O
Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted
ORMATION
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.
• • -. • • •� • i • •'� •
COMPLETED
7SEQID 7INSPECTION
TYPE RESULT NOTES
INSPECTION TYPE INSPECTOR
DATE
Printed: Friday, October 08, 2021 3:35:06 PM 1 of 2
Printed: Friday, October 08, 2021 3:35:06 PM 2 of 2