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BLD2023-0390_Application_3.30.2023_2.51.30_PM_3454259CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1291548 - Brousseau Applicant First Name Last Name Company Name Bryan Radcliff Day and Nite Plumbing and Htg Inc. Number Street Apartment or Suite Number E-mail Address 16614 13th AVE W bryan@dayandnite.net City State Zip Phone Number Extension Lynnwood WA 98037 (425) 775-6464 Contractor Company Name DAY & NITE PLUMBING & HTG INC Number Street Apartment or Suite Number 16614 13th AVE W City State Zip Phone Number Extension Lynnwood WA 98037 (425) 775-6464 State License Number License Expiration Date UBI # E-mail Address DAYNINP789D5 3/29/2024 BDDDR1g76 bryan@dayandnite.net Project Location Number Street Floor Number Suite or Room Number 24020 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00491100000906 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 Tim R & Merrill M Brousseau Number Street Apartment or Suite Number 24020 76TH W City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 3/30/2023 Submitted By: Bryan Radcliff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1291548 - Brousseau Project Contact Company Name: Day and Nite Plumbing and Htg Inc. Name: Bryan Radcliff Email: bryan@dayandnite.net Address: 16614 13th AVE W Phone #: (425) 775-6464 Lynnwood WA 98037 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Brousseau Description of Work: Install a new single head ductless heat pump. Project Details HVAC Systems Heat Pump Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Install a new ductless heat pump, inside head located in new addition, and outdoor unit located in back yard. Page 2 of 2