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Application_BLD2023-0766CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1335317 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 DAYNINP789D5 3/29/2024 UBI # E-mail Address BDDDR1g76 bryan@dayandnite.net Project Location Number Street 21420 95TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00528100001600 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 James A & Alison E Killgore Number Street 21420 95TH PL W Apartment or Suite Number City State EDMONDS WA Zip 98020 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: 6/19/2023 Submitted By: Bryan Radcliff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1335317 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech 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: 1 st floor, Install 18ft of new gas piping, on the outside of the new Master Bath, Garage) garage that is being built on site. Page 2 of 2