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ENG2022-0471+Application+9.20.2022_5.55.30_AM+3117803CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1204328 - Duffy Water Meter Applicant First Name Last Name Company Name Nancy Duffy Number Street Apartment or Suite Number E-mail Address 23511 74th Ave W nancy(cD-mcduffycpa.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 890-1653 Contractor Company Name ENCORE CONSTRUCTION LLC Number Street Apartment or Suite Number 7910 123RD AVE NE City State Zip Phone Number Extension LAKE STEVENS WA 98258 (425) 359-9896 State License Number License Expiration Date UBI # E-mail Address ENCORCL857K6 12/14/2023 603507820 dlokhmatov(Dgmail.com Project Location Number Street Floor Number Suite or Room Number 23511 74TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27043200200100 Associated Building Permit Number Tenant Name BLD2022-1025 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Brian F & Nancy Duffy Number Street Apartment or Suite Number 23511 74TH AVE W City State Zip EDMONDS WA 98026-8500 Certification Statement - The applicant states: 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. 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: 9/20/2022 Submitted By: Nancy Duffy Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1204328 - Duffy Water Meter Project Contact Company Name: PLCet Sound Planning, Name: Lee Michaelis Address: 6100 219th St SW Mountlake Terrace WA 98043 Project Type Single Family Residential Email: lee.michaelis@pugetsoundplanning.com Phone #: (425) 830-1046 Activity Type Scope of Work New Water Meter Project Name: Duffy Water Meter Description of Work: Installation of a new water meter and water service line for a new single family residence. Project Details Water Meter Type Domestic and Fire Combo Water Meter Size Water meter 1.0 Page 2 of 2