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Permit_1072419CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n99-nn1 9 Issued Date 1/5/2022 Expiration Date 7/4/2022 Job Address 210 PINE ST Fee Paid $108.15 EDMONDS, 98020 Order Confirmation 1114061 Floor Related Permit# Suite Application ID 1072419 Contact Information Contact Name Karen Matheney Contractor WASHINGTON ENERGY SVCS CO Phone Number (206) 378-6648 LLC Property Owner Thomas D & Judith M Scheiderer LNI License# WASHIES796NU Address 12057 2ND AVE NW SEATTLE, WA Phone# (206) 378-6648 City Bus. License # N R-026522 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Water Heater - Gas Mechanical, There is no other onsite work that requires a building permit.) GARAGE 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: Karen Matheney Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n99-nniq Issued Date 1/5/2022 Expiration Date 7/4/2022 Job Address 210 PINE ST Fee Paid $108.15 EDMONDS, 98020 Order Confirmation 1114061 Floor Related Permit# Suite Application ID 1072419 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