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Application_1006425CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1006425 Applicant First Name Last Name Bryan Radcliff Company Name Day and Nite Plumbing and Htg Inc. Number Street 16614 13th AVE W Apartment or Suite Number E-mail Address bryan@dayandnite.net City State Zip Lynnwood WA 98037 Phone Number Extension (425) 775-6464 Contractor Company Name DAY & NITE PLG & HTG INC Number Street 16614 13th AVE W Apartment or Suite Number City State Zip Lynnwood WA 98037 Phone Number Extension (425) 775-6464 State License Number License Expiration Date DAYNIPH944RQ 1/1/2023 UBI # E-mail Address FDDDRIg7R bryan@dayandnite.net Project Location Number Street 6820 176TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00654100001000 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Peggy Johnson Number Street 6820 176TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026-5614 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. Date Submitted: 8/17/2021 Submitted By: Bryan Radcliff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1006425 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Scope of Work Mechanical Work Description/Location (example: 1 st floor, Replace existing gas furnace with new gas furnace in Master Bath, Garage) same location in the garage. Page 2 of 2