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Permit_1216663CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI f17f177-1 d1 1 Issued Date 10/17/2022 Expiration Date 4/15/2023 Job Address 23701 104TH AVE W Fee Paid $120.00 EDMONDS, 98020 Order Confirmation 1179817 Floor Related Permit# Suite Application ID 1216663 Contact Information Contact Name CM Heating Contractor C M HEATING INC Phone Number (425) 259-6666 Property Owner Medferiash Tesfay LNI License# CMHEAI*095R4 Address 23701 104TH AVE W EDMONDS, Phone# (425) 259-6666 WA City Bus. License # N R-026517 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Mechanical project involving ( 1 Furnace) interior 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: CM Heating Page 1 of 2 t of EDAf 0 1;�_-o CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI n9n99_1A11 Issued Date 10/17/2022 Expiration Date 4/15/2023 Job Address 23701 104TH AVE W Fee Paid $120.00 EDMONDS, 98020 Order Confirmation 1179817 Floor Related Permit# Suite Application ID 1216663 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