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Application_2021-0627CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #958633 Applicant First Name Bryan Last Name Company Name Radcliff 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 Lynnwood WA Zip Phone Number Extension 98037 (425) 775-6464 Contractor Company Name DAY & NITE PLG & HTG INC Number Street 16614 13th AVE W Apartment or Suite Number City Lynnwood State Zip Phone Number Extension WA 98037 (425) 775-6464 State License Number DAYNIPH944RQ License Expiration Date UBI # E-mail Address 1/1/2023 FDDDRIg7R bryan@dayandnite.net Project Location Number Street 16827 76TH AVE W Floor Number Suite or Room Number City EDMONDS Zip Code County Parcel Number 98026 00513100012103 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Susan A Last Name or Company Name Vermeulen Number Street 16827 76TH AVE W Apartment or Suite Number City EDMONDS State Zip WA 98026-5002 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: 5/4/2021 Submitted By: Bryan Radcliff Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #958633 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Page 2 of 2