Permit_1241122t °F EDAf
0
�1�c. t SCO
CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI ngngq-1 R7R Issued Date
12/12/2022
Expiration Date
6/10/2023
Job Address
21328 84TH AVE W Fee Paid
$120.00
EDMONDS, 98026 Order Confirmation
1191089
Floor
Related Permit#
Suite
Application ID
1241122
Contact Information
Contact Name
PERMIT COORDINATOR Contractor
RESCUE ROOTER
Phone Number
(253) 872-5330Ext (253) 872-4902
Property Owner
Victor E & Patricia J Knight LNI License#
BLUEFFH825RM
Address
19051 11TH AVE NW SHORELINE, Phone#
(253) 872-5330
WA City Bus. License #
601837949 001 0004
Property Owner Phone
(425) 409-1931 Tenant Name
Job Description
A (Single Family Residential) (Alteration) Mechanical project involving ( 1 Furnace)
INSIDE - ATTIC
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: PERMIT COORDINATOR
Page 1 of 2
t of EDAf
0
1;�_-o
CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n99_1R7R
Issued Date
12/12/2022
Expiration Date
6/10/2023
Job Address
21328 84TH AVE W
Fee Paid
$120.00
EDMONDS, 98026
Order Confirmation
1191089
Floor
Related Permit#
Suite
Application ID
1241122
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