Engineering Permit FormNEW COMMERCIAL
PERMIT
PERMIT NUMBEIR,
City of
Edmonds
hL
EdmondsSEWER
•:• •ENG2021-027
www.cityofedmonds.gov•
•
- -
Description: Sewer GFC associated with TI - BLD2021-0897
ISSUED: 08/26/2021
Address: 201 MAIN ST 201 EDMONDS WA 98020
EXPIRES: 08/26/2022
Permit Type: SEWER NEW COMMERCIAL Permit Subtype: RETAILSALES Parcel Number: 00434400700700
NAME TYPE NAME
ADDRESS PHONE
APPLICANT SCOTT BOYER
12216 CORLISS AVENUE NORTH, SEATTLE WA 98133 (206)235-0935
CONTACT MITHUN
12216 CORLISS AVENUE NORTH, SEATTLE WA 98133 (206)235-0935
CONTRACTOR CONTRACTOR UNKNOWN
OWNER EDMONDS 2020 LLC
307 BELL ST, EDMONDS WA 98020
FEE
INFORMATION
DESCRIPTION
AMOUNT PAID
SEWER GENERAL FACILITY CHARGE - NEW COMM 2
$1,126.74 $0.00
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
RELEASED BY DATE
Printed: Thursday, August 26, 2021 1:39:40 PM 1 of 2
SEWER NEW COMMERCIAL PERMIT
City of Edmonds
121 5th Ave N, Edmonds WA 98020
www.cityofedmonds.gov / 425.771.0220
CONDITIONS
INSPECTIONS
PERMIT NUMBER
ENG2021-0274