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Permit_1068161CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI n9n91-1777 Issued Date 12/22/2021 Expiration Date 6/20/2022 Job Address 18832 80TH AVE W Fee Paid $123.60 EDMONDS, 98026 Order Confirmation 1111938 Floor Related Permit# Suite Application ID 1068161 Contact Information Contact Name Valura Brashears Contractor REFINED HEATING & A/C Phone Number (425)359-5687 Property Owner John Shelby & Renae Burford LNI License# LIFETHA8201-8 Address 4701 W 61ST TERRACE MISSION, Phone# (425)359-5687 KS City Bus. License # 604054968 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Alteration) Mechanical project involving ( 1 Furnace, There is no other onsite work that requires a building permit.) basement 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: Valura Brashears Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI n9ing1-1799 Issued Date 12/22/2021 Expiration Date 6/20/2022 Job Address 18832 80TH AVE W Fee Paid $123.60 EDMONDS, 98026 Order Confirmation 1111938 Floor Related Permit# Suite Application ID 1068161 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Gas Test/Pipe Mech Rough -in Mechanical Final Inspection Scheduling Go to: www.MyBuildingPermit.com or call (425) 771-0220. Page 2 of 2