ENG2022-0118 SEWER +Application+3.22.2022_5.12.23_PM+2754469CITY OF EDMONDS nnyst,ilaingPermit.com
Utilities Application #1112221 - Puget Sound Residence
Applicant
First Name
Last Name
Company Name
brent
heath
E & H Construction Co
Number Street
Apartment or Suite Number
E-mail Address
5021 216th Place SE
ehconstruction1987(D_gmail.com
City State
Zip
Phone Number Extension
Bothell WA
98021
2062341932
Contractor
Company Name
E & H CONSTRUCTION CO
Number Street
Apartment or Suite Number
5021 216th pl se
City
State Zip
Phone Number Extension
Bothell
Wa 98021
206-234-1932
State License Number
License Expiration Date
UBI #
F-mail Address
EHCONC*1370Q
2/4/2023
601037930
ehconstruction1987(cD_gmail.com
Project Location
Number Street
Floor Number Suite or Room Number
15722 72ND AVE W
City
Zip Code
County Parcel Number
EDMONDS
98026
00513100002501
Associated Building Permit Number
Tenant Name
BLD2021-0985
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Kevin W & Hathaway Heather D Keck
Number Street Apartment or Suite Number
583 BATTERY ST 508N
City State Zip
SEATTLE WA 98121
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: 3/22/2022 Submitted By: brent heath
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Utilities Application #1112221 - Puget Sound Residence
Project Contact
Company Name: E & H Construction Co
Name: brent heath
Address: 5021 216th Place SE
Bothell WA 98021
Project Type
Single Family Residential
Email: ehconstruction1987@gmail.com
Phone #: 2062341932
Activity Type Scope of Work
New Side Sewer Connection
Project Name: Puget Sound Residence
Description of Work: hook up to city side sewer stub
Project Details
Project Information
Connection to City sewer service
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