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Permit_1374787CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI ngnq'i-11AR Issued Date 9/12/2023 Expiration Date 3/10/2024 Job Address 16711 76TH AVE W Fee Paid $170.00 EDMONDS, 98026 Order Confirmation 1251655 Floor Related Permit# Suite Application ID 1374787 Contact Information Contact Name CM Heating Contractor CM AIR PROS LLC Phone Number (425) 259-0550 Property Owner Juan S & Kathryn B E Ttees Oviedo LNI License# CMAIRAP78ONH Address 16711 76TH AVE W EDMONDS, WA Phone# (425) 259-0550 City Bus. License # 604949023 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Mechanical project involving ( 1 Gas Piping Outlets - Mech, 1 Fireplace Insert - Gas) interior 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: CM Heating Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI ngnq*i_11AR Issued Date 9/12/2023 Expiration Date 3/10/2024 Job Address 16711 76TH AVE W Fee Paid $170.00 EDMONDS, 98026 Order Confirmation 1251655 Floor Related Permit# Suite Application ID 1374787 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