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ENG2022-0399+Application+7.22.2022_4.18.49_PM+3007589CITY OF EDMONDS MyBtaildingPermit.com Utilities Application #1177539 - Pawling Side Sewer Permit Applicant First Name Last Name Company Name Gretchen Pawlinq Number Street Apartment or Suite Number E-mail Address 755 Daley St pawlingg(@_gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 719-0793 Contractor Company Name HD PARTNERS LLC Number Street Apartment or Suite Number 1141 NW 53rd St City State Zip Phone Number Extension Seattle WA 98107 (206) 729-5797 State License Number License Expiration Date UBI # E-mail Address HDPARPL790NQ 8/16/2023 603396393 nick(a)_hdpartners. net Project Location Number Street Floor Number Suite or Room Number 755 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434208302500 Associated Building Permit Number Tenant Name BLD2021-1667 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Gretchen G Pawling Number Street Apartment or Suite Number 755 DALEY ST City State Zip EDMONDS WA 98020 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: 7/22/2022 Submitted By: Gretchen Pawling Page 1 of 2 i o CITY OF EDMONDS MyBuildingPerrnit.cm „c Utilities Application #1177539 - Pawling 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 #: (425) 830-1046 Activity Type Scope of Work New Side Sewer Connection Project Name: Pawling Side Sewer Permit Description of Work: Installation of new side sewer from new residence to city main in right of way. Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Page 2 of 2