Permit_1384061CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n7n7'i-199A Issued Date
10/2/2023
Expiration Date
3/30/2024
Job Address
9515 FOREST DELL DR Fee Paid
$119.00
EDMONDS, 98020 Order Confirmation
1255914
Floor
Related Permit#
Suite
Application ID
1384061
Contact Information
Contact Name
Karen Matheney Contractor
WASHINGTON ENERGY SVCS CO
Phone Number
(206) 378-6648
LLC
Property Owner
John Espinola LNI License#
WASHIES796NU
Address
9515 FOREST DELL DR EDMONDS, Phone#
(206) 378-6648
WA City Bus. License #
N R-026522
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Water Heater - Gas Mechanical,
Like for like equipment in the same location, There is no other onsite work that requires a building permit.)
1 st floor
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: Karen Matheney
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CITY OF EDMONDS
Plumbing Permit
My6uildingPermitxom
Permit Information
Permit Number
RI ngnq*i-1 99d
Issued Date
10/2/2023
Expiration Date
3/30/2024
Job Address
9515 FOREST DELL DR
Fee Paid
$119.00
EDMONDS, 98020
Order Confirmation
1255914
Floor
Related Permit#
Suite
Application ID
1384061
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Rough In Plumbing
Plumbing Final
Inspection Scheduling
Go to: www.MyBuildingPermit.com or call (425) 771-0220.
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