ENG2022-0231+Application+5.17.2022_8.20.12_AM+2874312CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1143039 - Tollefson Side Sewer Permit
Applicant
First Name Last Name Company Name
Lee Michaelis Puget Sound Planninq, LLC
Number Street Apartment or Suite Number E-mail Address
6100 219th St SW Suite 480 tom(@_lerendesign.com
City State Zip Phone Number Extension
Mountlake Terrace WA 98043 4258301046
Contractor
Company Name
COMPLETE EXCAVATING LLC
Number Street Apartment or Suite Number
PO BOX 1275
City
State Zip
LAKE STEVENS
WA 98258
State License Number
License Expiration Date
COMPLEL82205
10/10/2022
Project Location
Number Street
633 WALNUT ST
City
Zip Code
EDMONDS
98020
Associated Building Permit Number
BLD2021-1362 and
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
(425) 330-1580
UBI # E-mail Address
604331204 steveIns 1043(cD-comcast. net
County Parcel Number
00434209402900
Tenant Name
Floor Number Suite or Room Number
First Name Last Name or Company Name
Barbara Tollefson
Number Street Apartment or Suite Number
633 WALNUT ST
City State Zip
EDMONDS WA 98020-3421
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: 5/17/2022 Submitted By: Lee Michaelis
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CITY OF EDMONDS Mysu;laingPerrnit.com
Utilities Application #1143039 - Tollefson Side Sewer Permit
Project Contact
Company Name: PLCet Sound Planning,
Name: Lee Michaelis
Address: 6100 219th St SW
Suite 480
Mountlake Terrace WA
98043
Project Type
Single Family Residential
Email: lee.michaelis@pugetsoundplanning.com
Phone #: 4258301046
Activity Type Scope of Work
New Side Sewer Connection
Project Name: Tollefson Side Sewer Permit
The installation of a grinder pump package system for the Tollefson ADU; the existing
Description of single-family residence onsite will continue to utilize the existing gravity sewer system that is
Work: connected to the City of Edmonds sewer system in Walnut Street. The ADU grinder pump
system will pump the sewage flows from the new ADU up to the existing gravity side sewer
system on site.
Project Details
Project Information
Connection to City sewer service
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