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Permit_1432958CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI f17f17A-nln7 Issued Date 1/24/2024 Expiration Date 1 /24/2025 Job Address 17107 66TH PL W Fee Paid $170.00 EDMONDS, 98026 Order Confirmation 1279665 Floor Related Permit# Suite Application ID 1432958 Contact Information Contact Name Kevin Lebel Contractor Sundance Energy Services Inc Phone Number (425)481-9660 Property Owner Cynthia Ann Moen LNI License# SUNDAES063J9 Address 17107 66TH PL W EDMONDS, WA Phone# (425) 481-9660 City Bus. License # N R-026485 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Alteration) Mechanical project involving ( There is no other onsite work that requires a building permit., 1 Gas Piping Outlets - Mech, 1 Furnace) Installing a new gas furnace - Including gas piping / Garage 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: Brian Lee Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Mechanical Permit My6uildingPermitxom Permit Information Permit Number RI ngn9d_n1n7 Issued Date 1/24/2024 Expiration Date 1 /24/2025 Job Address 17107 66TH PL W Fee Paid $170.00 EDMONDS, 98026 Order Confirmation 1279665 Floor Related Permit# Suite Application ID 1432958 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