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Permit_1139654CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI n9n99-nFnR Issued Date 5/9/2022 Expiration Date 11 /5/2022 Job Address 21218 95TH AVE W Fee Paid $150.00 EDMONDS, 98020 Order Confirmation 1143785 Floor Related Permit# Suite Application ID 1139654 Contact Information Contact Name Greenwood Heating and AC Contractor GREENWOOD HEATING & A/C Phone Number (206) 784-1818 Property Owner Kevin & Klahn Maryanna Wilmot LNI License# GREENHA922U7 Address 21218 95TH AVE W EDMONDS, WA Phone# (206) 784-1818 City Bus. License # 602259014 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Mechanical project involving ( 1 Gas Piping Outlets - Mech, 1 Furnace) 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: Greenwood Heating and AC Page 1 of 2 t of EDAf 0 1;�_-o CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI n9n99_nRnR Issued Date 5/9/2022 Expiration Date 11 /5/2022 Job Address 21218 95TH AVE W Fee Paid $150.00 EDMONDS, 98020 Order Confirmation 1143785 Floor Related Permit# Suite Application ID 1139654 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Gas Test/Pipe Mech Rough -in Mechanical 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