Permit_1248660CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9'i-( nnA Issued Date
1/3/2023
Expiration Date
7/2/2023
Job Address
21616 92ND AVE W Fee Paid
$120.00
EDMONDS, 98020 Order Confirmation
1194847
Floor
Related Permit#
Suite
Application ID
1248660
Contact Information
Contact Name
Kelly Fox Contractor
DAMIAN JOHN CONSTRUCTION LLC
Phone Number
(425) 322-5530
Property Owner
Glenn &Tamara Wattum LNI License#
DAMIAJC875BG
Address
21616 92ND AVE W EDMONDS, WA Phone#
(425) 322-5530
City Bus. License #
602-957-962
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Alteration) Mechanical project involving ( 1 Gas Piping Outlets - Mech, There is no other
onsite work that requires a building permit.)
Kitchen
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: Kelly Fox
Page 1 of 2
t of EDAf
0
1;�_-o
CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i_( nnA
Issued Date
1/3/2023
Expiration Date
7/2/2023
Job Address
21616 92ND AVE W
Fee Paid
$120.00
EDMONDS, 98020
Order Confirmation
1194847
Floor
Related Permit#
Suite
Application ID
1248660
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