ENG2022-0109+Application+3.17.2022_12.54.53_PM+2744349CITY OF EDMONDS nnyst,ilaingPermit.com
Utilities Application #1099515 - 7922 203rd St SW SFR Side Sewer
Applicant
First Name Last Name Company Name
Select Homes Select Homes Select Homes, Inc.
Number Street Apartment or Suite Number E-mail Address
8304 212th St SW kayla.clark@outlook.com
City State Zip Phone Number Extension
Edmonds WA 98026 4257426044
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
7922 203RD ST SW
City Zip Code County Parcel Number
EDMONDS 98026 27041900112700
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
lot 2
First Name Last Name or Company Name
SELECT HOMES INC
Number Street Apartment or Suite Number
8304 212TH ST SW
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 3/17/2022 Submitted By: Select Homes Select Homes
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CITY OF EDMONDS M BuildingPerrnit.cam
Utilities Application #1099515 - 7922 203rd St SW SFR Side Sewer
Project Contact
Company Name: Select Homes, Inc.
Name: Kayla Nichols Email: kayla.clark@outlook.com
Address: 8304 212th St SW Phone #: 4257426044
Edmonds WA 98026
Project Type Activity Type Scope of Work
Single Family Residential New Side Sewer Connection
Project Name: 7922 203rd St SW SFR Side Sewer
Description of Work: New SFR side sewer permit
Project Details
Project Information
Connection to City sewer service
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