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ENG2023-0033+Application+1.20.2023_1.41.37_PM+3325673CITY OF EDMONDS Utilities Application #1257140 - Side Sewer Applicant First Name Last Name Damian Konasiewicz MyBuildingPermit.com Company Name JoDaVue LLC Number Street Apartment or Suite Number E-mail Address 7606 206th St SW A Jodavue angmail.com City State Zip Edmonds WA 98026 Contractor Company Name JODAVUE LLC Number Street 7606 A 206TH ST SW City State Zip EDMONDS WA 98026 State License Number License Expiration Date JODAVL*784K5 6/21 /2024 Project Location Number Street 7606 206TH ST SW City Zip Code EDMONDS 98026 Associated Building Permit Number BLD2022-1276 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension (206) 799-8917 UBI # 604859422 County Parcel Number 00614300000605 Tenant Name Apartment or Suite Number Phone Number Extension 2067998917 E-mail Address Jodavue@gmail.com Floor Number Suite or Room Number First Name Last Name or Company Name Damian Konasiewicz Number Street Apartment or Suite Number 7606 206TH 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: 1/20/2023 Submitted By: Damian Konasiewicz Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Utilities Application #1257140 - Side Sewer Project Contact Company Name: JoDaVue LLC Name: Damian Konasiewicz Email: Jodavue@gmail.com Address: 7606 206th St SW A Phone #: (206) 799-8917 Edmonds WA 98026 Project Type Single Family Residential Activity Type Scope of Work New Side Sewer Connection Project Name: Side Sewer Description of Work: Tie in a new 4" sewer line from the new unit into the existing 6" sewer on the property that already connects to the city sewer.. Project Details Structure Type Single Family Dwelling Page 2 of 2