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Application_2021-1485CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1042078 Applicant First Name Bryan Last Name Company Name Radcliff 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 Phone Number Extension 98037 (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 Phone Number Extension WA 98037 (425) 775-6464 State License Number DAYNIPH944RQ License Expiration Date UBI # E-mail Address 1/1/2023 FDDDRIg7R bryan@dayandnite.net Project Location Number Street 400 WALNUT ST Floor Number Suite or Room Number 103 City EDMONDS Zip Code County Parcel Number 98020 00918200010300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Emily Last Name or Company Name Mckenzie Number Street 400 WALNUT ST Apartment or Suite Number 103 City EDMONDS State Zip WA 98020-8454 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: 10/28/2021 Submitted By: Bryan Radcliff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1042078 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Plumbing Work Description/Location (example: 1 st floor, Replace existing gas hot water tank with a new gas hot Master Bath, Garage) water tank in the same location, located in utility closet. Page 2 of 2