Permit_1475093CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9A-fLri1 i; Issued Date
4/17/2024
Expiration Date
4/17/2026
Job Address
20015 83RD AVE W Fee Paid
$136.00
EDMONDS, 98026 Order Confirmation
1299469
Floor
Related Permit#
Suite
Application ID
1475093
Contact Information
Contact Name
Rich Vulliet Contractor
ENERGY WORKS LLC
Phone Number
(425) 409-5661
Property Owner
Derek W & Krista M Forseth LNI License#
ENERGWL88OKS
Address
20015 83RD AVE W EDMONDS, WA Phone#
(425) 409-5661
City Bus. License #
603204527
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Mechanical project involving ( There is no other onsite work that
requires a building permit., 1 Furnace)
in a closet
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: Rich Vulliet
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CITY OF EDMONDS
Mechanical Permit
My6uildingPermitxom
Permit Information
Permit Number
RI ngn9A_n_1F
Issued Date
4/17/2024
Expiration Date
4/17/2026
Job Address
20015 83RD AVE W
Fee Paid
$136.00
EDMONDS, 98026
Order Confirmation
1299469
Floor
Related Permit#
Suite
Application ID
1475093
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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