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Permit_2021-1555CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n91 _1 -r)- Issued Date 11/15/2021 Expiration Date 5/14/2022 Job Address 23111 76TH AVE W Fee Paid $123.60 EDMONDS, 98026 Order Confirmation 1104283 Floor Related Permit# Suite Application ID 1050205 Contact Information Contact Name Bryan Radcliff Contractor DAY & NITE PLUMBING & HTG INC Phone Number (425) 775-6464 Property Owner Patrick & Kjersten Dubuque LNI License # DAYN I N P7950S Address 23111 76TH AVE W EDMONDS, WA Phone# (425) 775-6464 City Bus. License # N R-027003 Property Owner Phone 206-251-2251 Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Plumbing project involving ( 1 Water Supply Piping, Piping - Water Service, There is no other onsite work that requires a building permit.) Replace existing private water service from the city meter to the home in the front yard. Conditions - Post Permit on site. Do not cover until inspected. Plumbing contractor license laws are regulated by Chapter 18.106 RCW. Property owners who hire an unlicensed plumber may assume the risks and potential monetary liability for work performed by unlicensed plumbing contractors. For more information contact L&I Department of Licensing at 1-800-647-0982. 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. Applicant: Bryan Radcliff Page 1 of 2 CITY OF EDMONDS Plumbing Permit My6uildingPermitxom Permit Information Permit Number RI n9n91_1ccr Issued Date 11/15/2021 Job Address 23111 76TH AVE W Expiration Date 5/14/2022 Fee Paid $123.60 EDMONDS, 98026 Order Confirmation 1104283 Floor Related Permit# Suite Application ID 1050205 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough In Plumbing Plumbing Final Inspection Scheduling (425) 771-0220 or www.MyBuildingPermit.com ❑�❑� r Subject to any and all conditions as listed on Page 1 of this document. Re -inspection fees may apply if work is not ready for a requested inspection. �■ Follow the jurisdiction's construction hours and noise restrictions. Page 2 of 2