Permit_1326376CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9�-nF74 Issued Date
6/2/2023
Expiration Date
11 /29/2023
Job Address
22317 93RD PL W Fee Paid
$256.00
EDMONDS, 98020 Order Confirmation
1228491
Floor
Related Permit#
Suite
Application ID
1326376
Contact Information
Contact Name
Kathleen Kappen Contractor
BALLARD NATURAL GAS SRVC INC
Phone Number
(206) 784-8101
Property Owner
Neil G Kappen LNI License#
BALLANG062QD
Address
22317 93RD PL W EDMONDS, WA Phone#
(206) 784-8101
City Bus. License #
601506347
Property Owner Phone
(206) 391-6911 Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Mechanical project involving ( 4 Gas Piping Outlets - Mech, 2
Fireplace Insert - Gas, 1 Range, There is no other onsite work that requires a building permit.)
interior of home
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.
Range
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: Kathleen Kappen
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CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i_nR7�
Issued Date
6/2/2023
Expiration Date
11 /29/2023
Job Address
22317 93RD PL W
Fee Paid
$256.00
EDMONDS, 98020
Order Confirmation
1228491
Floor
Related Permit#
Suite
Application ID
1326376
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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