Permit_1241560CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f177-1 sR1 Issued Date
12/12/2022
Expiration Date
6/10/2023
Job Address
19637 80TH PL W Fee Paid
$120.00
EDMONDS, 98026 Order Confirmation
1191304
Floor
Related Permit#
Suite
Application ID
1241560
Contact Information
Contact Name
Brad Hanshaw Contractor
FROG HVAC LLC
Phone Number
4253597988
Property Owner
John Wesley &Sara Lang LNI License#
FROGHHL870P9
Address
19637 80TH PL W EDMONDS, WA Phone#
4253597988
City Bus. License #
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Mechanical project involving ( 1 Gas Piping Outlets - Mech)
north side of home
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: Brad Hanshaw
Page 1 of 2
t of EDAf
0
1;�_-o
CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n99_1RR1
Issued Date
12/12/2022
Expiration Date
6/10/2023
Job Address
19637 80TH PL W
Fee Paid
$120.00
EDMONDS, 98026
Order Confirmation
1191304
Floor
Related Permit#
Suite
Application ID
1241560
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