Permit_BLD2023-0154CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9ng�-n1 -a Issued Date
2/7/2023
Expiration Date
8/6/2023
Job Address
965 EDMONDS ST Fee Paid
$120.00
EDMONDS, 98020 Order Confirmation
1202147
Floor
Related Permit#
Suite
Application ID
1265680
Contact Information
Contact Name
Karen Matheney Contractor
WASHINGTON ENERGY SVCS CO
Phone Number
(206) 378-6648
LLC
Property Owner
Donald &Kimberly Wayne LNI License#
WASHIES851 NS
Address
965 EDMONDS ST EDMONDS, WA Phone#
(206) 378-6648
City Bus. License #
N R-026522
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.)
1 st 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: Karen Matheney
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CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i_n1_d
Issued Date
2/7/2023
Expiration Date
8/6/2023
Job Address
965 EDMONDS ST
Fee Paid
$120.00
EDMONDS, 98020
Order Confirmation
1202147
Floor
Related Permit#
Suite
Application ID
1265680
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.
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