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ENG2022-0398+Application+7.22.2022_3.53.54_PM+3007540CITY OF EDMONDS MyBtaildingPermit.com Utilities Application #1177500 - Pawling Water Meter Permit Applicant First Name Last Name Company Name Gretchen Pawlinq Number Street Apartment or Suite Number E-mail Address 755 Dalev 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 1535 NW 49th St. City State Zip Phone Number Extension Seattle WA 98107 (206) 718-5646 State License Number License Expiration Date UBI # E-mail Address HDPARPL790NQ 8/16/2023 603396393 stevens1043(D_comcast. 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 CITY OF EDMONDS MYBuildingPerrnit.com Utilities Application #1177500 - Pawling Water Meter Permit Project Contact Company Name: PLCet Sound Planning, Name: Lee Michaelis Address: 6100 219th St SW Suite 480 Mountlake Terrace WA 98043 Email: lee.michaelis@pugetsoundplanning.com Phone #: (425) 830-1046 Project Type Activity Type Scope of Work Single Family Residential New Water Meter Project Name: Pawling Water Meter Permit Description of Work: Installation of new 1" water meter and 1-1/2" water service line. Project Details Water Meter Type Domestic and Fire Combo Water Meter Size Water meter 1.0 Page 2 of 2