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Permit_1349350CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI n9n9'i-nQn.,i Issued Date 7/19/2023 Expiration Date 1 /15/2024 Job Address 1058 6TH AVE S Fee Paid $136.00 EDMONDS, 98020 Order Confirmation 1239119 Floor Related Permit# Suite Application ID 1349350 Contact Information Contact Name Charity Teeters Contractor ADVANCED INSTALLATION INC Phone Number (425) 745-5977 Property Owner George B Brookhart LNI License# ADVAN11033DU Address 1058 6TH AVE S EDMONDS, WA Phone# (425) 745-5977 City Bus. License # 601-749-093 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Alteration) Mechanical project involving ( 1 Fireplace Insert - Gas, There is no other onsite work that requires a building permit.) Living area 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: Charity Teeters Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI ngnq*i_nQn.*i Issued Date 7/19/2023 Expiration Date 1 /15/2024 Job Address 1058 6TH AVE S Fee Paid $136.00 EDMONDS, 98020 Order Confirmation 1239119 Floor Related Permit# Suite Application ID 1349350 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Gas Test/Pipe Mech Rough -in Mechanical Final Inspection Scheduling Go to: www.MyBuildingPermit.com or call (425) 771-0220. Page 2 of 2