Permit_1377004CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI Issued Date
9/15/2023
Expiration Date
3/13/2024
Job Address
1034 4TH AVE S Fee Paid
$176.00
EDMONDS, 98020 Order Confirmation
1252683
Floor
Related Permit#
Suite
Application ID
1377004
Contact Information
Contact Name
greg percy
Contractor
hearthside and home Ilc
Phone Number
(425) 771-6434
Property Owner
Suzanne James LNI License#
HEARTHL868BC
Address
1034 4TH AVE S EDMONDS, WA Phone#
(425) 771-6434
City Bus. License #
603215818
Property Owner Phone
(425) 221-8040 Tenant Name
Job Description
A (Single Family Residential) (Alteration) Mechanical project involving ( 2 Gas Piping Outlets - Mech, 1 Fireplace Insert -
Gas, There is no other onsite work that requires a building permit.)
Main floor, living room, masonry fireplace.
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: greg percy
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CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI ngnq*i_11RR
Issued Date
9/15/2023
Expiration Date
3/13/2024
Job Address
1034 4TH AVE S
Fee Paid
$176.00
EDMONDS, 98020
Order Confirmation
1252683
Floor
Related Permit#
Suite
Application ID
1377004
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.
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