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Permit_1233076CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n99-isin Issued Date 11/21/2022 Expiration Date 5/20/2023 Job Address 20610 88TH AVE W Fee Paid $120.00 EDMONDS, 98026 Order Confirmation 1187432 Floor Related Permit# PB19510 Suite Application ID 1233076 Contact Information Contact Name Nicole Williams Contractor PACIFIC BATH COMPANY Phone Number (206)565-2030EXt (206)565-2030 Property Owner Paul C Jaenicke LNI License# SPECICN793OZ Address 20610 88TH AVE W EDMONDS, WA Phone# (206)565-2030 City Bus. License # verified Property Owner Phone (425) 673-7665 Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Floor Drain, 1 Shower, Tub or Combo, Like for like equipment in the same location, There is no other onsite work that requires a building permit.) bathroom 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: Nicole Williams Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n99_i Ri n Issued Date 11/21/2022 Expiration Date 5/20/2023 Job Address 20610 88TH AVE W Fee Paid $120.00 EDMONDS, 98026 Order Confirmation 1187432 Floor Related Permit# PB19510 Suite Application ID 1233076 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. Page 2 of 2