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Application_1306861CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1306861 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 645 WALNUT ST City Zip Code County Parcel Number EDMONDS 98020 00434209402500 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 Jason Cummings Number Street Apartment or Suite Number 8403 TALBOT RD City State Zip EDMONDS WA 98026-5044 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: 4/28/2023 Submitted By: Bryan Radcliff Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1306861 Project Type Single Family Residential Project Details HVAC Systems Furnace Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Mechanical Work Description/Location (example: 1 st floor, Replace existing gas furnace with a new gas furnace in Master Bath, Garage) the same location, located in the basement. Page 2 of 2