Permit_2022-0551CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n99-ntir)1 Issued Date
5/2/2022
Expiration Date
10/29/2022
Job Address
923 MAIN ST Fee Paid
$120.00
EDMONDS, 98020 Order Confirmation
1141794
Floor
Related Permit#
Suite
Application ID
1135272
Contact Information
Contact Name
Gary Nelson
Contractor
Owner
Phone Number
4254094767
Property Owner
LNI License #
Geoffrey Nelson
Address
Phone #
9710 WHARF ST EDMONDS, WA
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.)
Repair broken schedule 40 water Main.
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: Gary Nelson
Page 1 of 2
t °F EDAf
0
1893
CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n99_n--1
Issued Date
5/2/2022
Expiration Date
10/29/2022
Job Address
923 MAIN ST
Fee Paid
$120.00
EDMONDS, 98020
Order Confirmation
1141794
Floor
Related Permit#
Suite
Application ID
1135272
Inspections
Inspection IVR Inspector Date Inspection IVR Inspector Date
Rough In Plumbing
Plumbing Final
Inspection Scheduling
The issuance of this permit in no way constitutes approval from any other agencies having regulatory authority over
the facility and this construction activity.
It is the responsibility of the property owner to obtain any and all such
required approvals.
Page 2 of 2