Permit_1297979CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9'i-(ld-9 Issued Date
4/12/2023
Expiration Date
10/9/2023
Job Address
24027 101 STAVE W Fee Paid
$153.00
EDMONDS, 98020 Order Confirmation
1216012
Floor
Related Permit#
Suite
Application ID
1297979
Contact Information
Contact Name
Damen Evans
Contractor
Owner
Phone Number
(949) 338-9600
Property Owner
LNI License #
Damen & Chabot Nicole Evans
Address
Phone #
24027 101STAVE W EDMONDS,
WA City Bus. License #
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Water Heater - Tankless, 1 Gas
Piping Outlets - Plum, Like for like equipment in the same location, There is no other onsite work that requires a building
permit.)
Laundry room, and I will be capping a gasline
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: Damen Evans
Page 1 of 2
t °F EDAf
0
1 S93
CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i-nA-9
Issued Date
4/12/2023
Expiration Date
10/9/2023
Job Address
24027 101 ST AVE W
Fee Paid
$153.00
EDMONDS, 98020
Order Confirmation
1216012
Floor
Related Permit#
Suite
Application ID
1297979
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Rough In Plumbing
Plumbing 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