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Permit_1236815CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI n7n77-1RA1 Issued Date 12/1/2022 Expiration Date 5/30/2023 Job Address 715 HANNA PARK RD Fee Paid $120.00 EDMONDS, 98020 Order Confirmation 1189198 Floor Related Permit# Suite Application ID 1236815 Contact Information Contact Name Kathleen Kappen Contractor BALLARD NATURAL GAS SRVC INC Phone Number (206) 784-8101 Property Owner Robert G Chaffee LNI License# BALLANG062QD Address 715 HANNA PARK RD EDMONDS, Phone# (206) 784-8101 WA City Bus. License # 601506347 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Mechanical project involving ( 1 Furnace, There is no other onsite work that requires a building permit.) First Floor 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: Kathleen Kappen Page 1 of 2 t of EDAf 0 1;�_-o CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI n9n99_1RA1 Issued Date 12/1/2022 Expiration Date 5/30/2023 Job Address 715 HANNA PARK RD Fee Paid $120.00 EDMONDS, 98020 Order Confirmation 1189198 Floor Related Permit# Suite Application ID 1236815 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