Permit_1287743CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f17'i-n7nn Issued Date
6/6/2023
Expiration Date
12/3/2023
Job Address
917 PINE ST Fee Paid
$170.00
EDMONDS, 98020 Order Confirmation
1211696
Floor
Related Permit#
Suite
Application ID
1287743
Contact Information
Contact Name
greg percy
Contractor
hearthside and home Ilc
Phone Number
(425) 771-6434
Property Owner
Daniel F & Joan E Block LNI License#
HEARTHL868BC
Address
917 PINE ST EDMONDS, WA Phone#
(425) 771-6434
City Bus. License #
603215818
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (New) Mechanical project involving ( 1 Gas Piping Outlets - Mech, 1 Freestanding Gas
Stove)
Ground Floor Theater Room
Conditions - Post Permit on site. Do not cover until inspected.
Freestanding Gas Stove
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: greg percy
Page 1 of 2
t of EDAf
0
1;�_-o
CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i_n7nn
Issued Date
6/6/2023
Expiration Date
12/3/2023
Job Address
917 PINE ST
Fee Paid
$170.00
EDMONDS, 98020
Order Confirmation
1211696
Floor
Related Permit#
Suite
Application ID
1287743
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