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Permit_2021-1447CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI f17f171 _1 AA7 Issued Date 10/21/2021 Expiration Date 4/19/2022 Job Address 19715 80TH PL W Fee Paid $108.15 EDMONDS, 98026 Order Confirmation 1098822 Floor Related Permit# Suite Application ID 1038299 Contact Information Contact Name Dan Des Laurier Contractor PACIFIC BATH COMPANY Phone Number (206)565-2046EXt (206)565-2030 Property Owner T P Albertson LNI License# SPECICN793OZ Address 19715 80TH PL W EDMONDS, WA Phone# (206)565-2046 City Bus. License # verified Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Shower, Tub or Combo) Bathroom 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: Dan Des Laurier Page 1 of 2 CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n91_1dd7 Issued Date 10/21/2021 Job Address 19715 80TH PL W Expiration Date 4/19/2022 Fee Paid $108.15 EDMONDS, 98026 Order Confirmation 1098822 Floor Related Permit# Suite Application ID 1038299 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough In Plumbing Plumbing 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