Permit_1187717CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n7n77-1 nRr, Issued Date
8/15/2022
Expiration Date
2/11 /2023
Job Address
23511 99TH PL W Fee Paid
$120.00
EDMONDS, 98020 Order Confirmation
1166169
Floor
Related Permit#
Suite
Application ID
1187717
Contact Information
Contact Name
Charity Teeters Contractor
ADVANCED INSTALLATION INC
Phone Number
4257455977
Property Owner
Jonathan B Prinz LNI License#
ADVAN11033DU
Address
23511 99TH PL W EDMONDS, WA Phone#
4257455977
City Bus. License #
601-749-093
Property Owner Phone
(206) 550-5154 Tenant Name
Job Description
A (Single Family Residential) (Alteration) Mechanical project involving ( 1 Fireplace Insert - Gas, There is no other onsite
work that requires a building permit.)
Replacing only gas fireplace
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: Charity Teeters
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CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n99_1nR-1;
Issued Date
8/15/2022
Expiration Date
2/11 /2023
Job Address
23511 99TH PL W
Fee Paid
$120.00
EDMONDS, 98020
Order Confirmation
1166169
Floor
Related Permit#
Suite
Application ID
1187717
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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