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Permit_1073695CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n99-nn99 Issued Date 1/7/2022 Expiration Date 7/6/2022 Job Address 22810 96TH PL W Fee Paid $108.15 EDMONDS, 98020 Order Confirmation 1114684 Floor Related Permit# Suite Application ID 1073695 Contact Information Contact Name Karen Matheney Contractor WASHINGTON ENERGY SVCS CO Phone Number (206) 378-6648 LLC Property Owner Ingmar & Kirsten Ellenberger LNI License# WASHIES796NU Address 4353 136TH PL SE BELLEVUE, 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.) 1 ST FLOOR 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-nngg Issued Date 1/7/2022 Expiration Date 7/6/2022 Job Address 22810 96TH PL W Fee Paid $108.15 EDMONDS, 98020 Order Confirmation 1114684 Floor Related Permit# Suite Application ID 1073695 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