Permit_1151833CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f177-n71 A Issued Date
6/1/2022
Expiration Date
11 /28/2022
Job Address
21712 84TH AVE W Fee Paid
$120.00
EDMONDS, 98026 Order Confirmation
1149058
Floor
Related Permit#
Suite
Application ID
1151833
Contact Information
Contact Name
Kevin Lebel
Contractor
Sundance Energy Services Inc
Phone Number
(425)481-9660
Property Owner
Si &Patricia Johnson LNI License#
SUNDAES063J9
Address
21712 84TH AVE W EDMONDS, WA Phone#
(425) 481-9660
City Bus. License #
N R-026485
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Mechanical project involving ( 1 Fireplace Insert - Gas, There is
no other onsite work that requires a building permit.)
Replacing a gas fireplace in living room
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: Brian Lee
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CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n99_n71A
Issued Date
6/1/2022
Expiration Date
11 /28/2022
Job Address
21712 84TH AVE W
Fee Paid
$120.00
EDMONDS, 98026
Order Confirmation
1149058
Floor
Related Permit#
Suite
Application ID
1151833
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.
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