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Permit_1089519CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n99-n1 RQ Issued Date 2/8/2022 Expiration Date 8/7/2022 Job Address 115 SKYLINE DR Fee Paid $108.15 EDMONDS, 98020 Order Confirmation 1121227 Floor Related Permit# Suite Application ID 1089519 Contact Information Contact Name Tom Gunderson Contractor GUNDERSON PLUMBING LLC Phone Number (360)794-5335 Property Owner Susannah Custodian Johnston LNI License# GUNDEPL782BQ Address FBO ZHOU YANGQIN EDMONDS, Phone# (360)794-5335 WA City Bus. License # 603426685 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( Like for like equipment in the same location, Piping - Water Service, There is no other onsite work that requires a building permit.) Outside 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: Tom Gunderson Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI ngngq-n1RQ Issued Date 2/8/2022 Expiration Date 8/7/2022 Job Address 115 SKYLINE DR Fee Paid $108.15 EDMONDS, 98020 Order Confirmation 1121227 Floor Related Permit# Suite Application ID 1089519 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