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Application_945869CITY OF EDMONDS M BuildingPermit.com Plumbing Application #945869 Applicant First Name Last Name Company Name Lori DeFoe Day and Nite Plumbing and Heating Number Street Apartment or Suite Number E-mail Address 16614 13th Ave W lori@dayandnite.net City State Zip Phone Number Extension Lynnwood WA 98037 (425)775-6464 Contractor Company Name DAY & NITE PLG & 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 DAYNIPH944RQ 1/1/2023 RDDDR1 q7R lori@dayandnite.net Project Location Number Street Floor Number Suite or Room Number 10502 237TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00689500000100 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 Gary W Humiston Number Street Apartment or Suite Number 10502 237TH PL SW City State Zip EDMONDS WA 98020-5769 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: 4/7/2021 Submitted By: Lori DeFoe Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #945869 Project Type Single Family Residential Project Details Piping Piping - Water Service Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Outside residence Master Bath, Garage) Scope of Work Plumbing Page 2 of 2