Permit_BLD2022-1358CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n7n77_1'i_riR Issued Date
10/6/2022
Expiration Date
4/4/2023
Job Address
1020 4TH AVE S Fee Paid
$105.00
EDMONDS, 98020 Order Confirmation
1177693
Floor
Related Permit#
Suite
Application ID
1212124
Contact Information
Contact Name
Christine Sage -Mullins
Contractor
Owner
Phone Number
(425) 870-2946
Property Owner
LNI License #
David C & Nakagawa Jane R Chan
Address
Phone #
1020 4TH AVE S EDMONDS, WA
City Bus. License #
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( Piping - Water Service, There is no
other onsite work that requires a building permit.)
Outside water line repair
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: Christine Sage -Mullins
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CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n99_1'iRR
Issued Date
10/6/2022
Expiration Date
4/4/2023
Job Address
1020 4TH AVE S
Fee Paid
$105.00
EDMONDS, 98020
Order Confirmation
1177693
Floor
Related Permit#
Suite
Application ID
1212124
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.
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