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Permit_1065895CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n91-17nR Issued Date 12/16/2021 Expiration Date 6/14/2022 Job Address 16508 76TH AVE W Fee Paid $123.60 EDMONDS, 98026 Order Confirmation 1110866 Floor Related Permit# Suite Application ID 1065895 Contact Information Contact Name Dan Barger Contractor Apollo Plumbing LLC Phone Number 4253871507 Property Owner Donna Maria Chilelli LNI License# APOLLPL795QN Address 16508 76TH AVE W EDMONDS, WA Phone# 4253871507 City Bus. License # Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Water Supply Piping, Piping - Water Service, There is no other onsite work that requires a building permit.) We are replacing the water service line 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 Barger Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI ngng1-17nR Issued Date 12/16/2021 Expiration Date 6/14/2022 Job Address 16508 76TH AVE W Fee Paid $123.60 EDMONDS, 98026 Order Confirmation 1110866 Floor Related Permit# Suite Application ID 1065895 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough In Plumbing Plumbing Final Inspection Scheduling Go to: www.MyBuildingPermit.com or call (425) 771-0220. Page 2 of 2