Application_2021-1555CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1050205
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 PLUMBING & 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
DAYNINP7950S 8/31/2023
UBI # E-mail Address
BDDDR1g76 bryan@dayandnite.net
Project Location
Number Street
23111 76TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00488800400201
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
Patrick & Kjersten Dubuque
Number Street
23111 76TH AVE W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026-8703
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: 11/15/2021 Submitted By: Bryan Radcliff
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1050205
Project Type
Single Family Residential
Project Details
Piping
Piping - Water Service
Water Supply Piping
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 private water service from the city
Master Bath, Garage) meter to the home in the front yard.
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