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ENG2022-0279+Application+6.3.2022_7.57.42_AM+2909116CITY OF EDMONDS nnyst,ilaingPermit.com Utilities Application #1137552 - Solomon & Getachew Water Meter Applicant First Name Last Name Company Name Lee Michaelis Puqet Sound Planninq, LLC Number Street Apartment or Suite Number E-mail Address 6100 219th St SW Suite 480 lee.michaelis@pugetsoundplanninq.com City State Zip Phone Number Extension Mountlake Terrace WA 98043 4258301046 Contractor Company Name LEIF HELLEREN CONSTRUCTION INC Number Street Apartment or Suite Number PO BOX 1764 City State Zip Phone Number Extension EDMONDS WA 98020 2065338200 State License Number License Expiration Date UBI # E-mail Address LEIFHC10380T 10/3/2023 601818421 steveIns 1043(D_comcast. net Project Location Number Street Floor Number Suite or Room Number 1400 9TH AVE N City Zip Code County Parcel Number EDMONDS 98020 00608300000201 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 Desta & Solomon Genet Getachew Number Street Apartment or Suite Number 20204 37TH AVE W City State Zip LYNNWOOD WA 98036 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: 6/3/2022 Submitted By: Lee Michaelis Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Utilities Application #1137552 - Solomon & Getachew Water Meter 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 Water Meter Project Name: Solomon & Getachew Water Meter Description of Work: Installation of a new water for a single family residence. Project Details Water Meter Type Domestic and Fire Combo Water Meter Size Water meter 1.0 Page 2 of 2