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ENG2023-0146+Application+3.21.2023_3.21.26_PM+3434707CITY OF EDMONDS nn BuildingPermit.com Utilities Application #1286309 - Armstrong Residence Remodel/Addition Applicant First Name Last Name Company Name William Scales Drystone Studio Number Street Apartment or Suite Number E-mail Address 7523 11th AVe NW will(D_drystonestudio.com City State Zip Phone Number Extension Seattle WA 98117 (206) 795-0289 Contractor Company Name JOHNSON AND SONS CONST LLC Number Street Apartment or Suite Number 6618 Marine View Drive City State Zip Phone Number Extension Edmonds WA 98026 (425) 299-5616 State License Number License Expiration Date UBI # E-mail Address JOHNSSC921 KZ 5/9/2024 602807834 JASCONSTNW(cD-GMAIL.COM Project Location Number Street 17121 SEA LAWN DR City Zip Code EDMONDS 98026 Associated Building Permit Number BLD2023-0102 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Kenneth W & Armstrong Susan M Number Street 17121 SEA LAWN DR City State EDMONDS WA County Parcel Number 00566000000500 Tenant Name Last Name or Company Name Armstrong Certification Statement - The applicant states: Zip 98026 Floor Number Suite or Room Number Apartment or Suite Number 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: 3/21/2023 Submitted By: William Scales Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com ,.,I,,.. Utilities Application #1286309 - Armstrong Residence Remodel/Addition Project Contact Company Name: Drystone Studio Name: William Scales Email: will@drystonestudio.com Address: 7523 11th AVe NW Phone #: (206) 795-0289 Seattle WA 98117 Project Type Activity Type Scope of Work Single Family Residential Utility Modification Partial Line Replacement Project Name: Armstrong Residence Remodel/Addition Description of Work: Interior remodel and approximately 180SF addition to an existing single family residence. Work includes installation of new cleanout on existing side sewer. Project Details Structure Type Single Family Dwelling Project Information Relocate Page 2 of 2