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Application_2021-1300CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1022938 Applicant First Name Bryan Last Name 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 Lynnwood WA Zip 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 Lynnwood State Zip WA 98037 Phone Number Extension (425) 775-6464 State License Number DAYNIPH944RQ License Expiration Date 1/1/2023 UBI # E-mail Address FDDDRIg7R bryan@dayandnite.net Project Location Number Street 19128 88TH AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00581200000300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Sean P & Jamie A Last Name or Company Name Quinlan Number Street 19128 88TH AVE W Apartment or Suite Number City EDMONDS State WA Zip 98026 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: 9/21/2021 Submitted By: Bryan Radcliff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1022938 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) the same location, located in the basement. Page 2 of 2