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Permit_1338305CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI f17f17'i-n7A7 Issued Date 6/26/2023 Expiration Date 12/23/2023 Job Address 20111 80TH AVE W Fee Paid $136.00 EDMONDS, 98026 Order Confirmation 1233900 Floor Related Permit# Suite Application ID 1338305 Contact Information Contact Name Jeffrey Arbuckle Contractor Owner Phone Number (432) 386-3989 Property Owner LNI License # Jeffrey T & Sarah D W Arbuckle Address Phone # 20111 80TH AVE W EDMONDS, WA City Bus. License # Property Owner Phone (432) 386-3989 Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Water Supply Piping, Like for like equipment in the same location, Piping - Water Service, There is no other onsite work that requires a building permit.) Corner Of Lot, approximately 6' from meter location towards house 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: Jeffrey Arbuckle Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n9*i_(17A9 Issued Date 6/26/2023 Expiration Date 12/23/2023 Job Address 20111 80TH AVE W Fee Paid $136.00 EDMONDS, 98026 Order Confirmation 1233900 Floor Related Permit# Suite Application ID 1338305 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