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Application_1036108CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1036108 Applicant First Name Last Name Lori DeFoe Company Name Day and Nite Plumbing and Heating Number Street 16614 13th Ave W Apartment or Suite Number E-mail Address lori@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 RDDDR1 q7R lori@dayandnite.net Project Location Number Street 8129 187TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00371700200600 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 Dale J Clark Number Street 8129 187TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026-5843 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: 10/16/2021 Submitted By: Lori DeFoe Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1036108 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Page 2 of 2