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ENG2023-0384+Application+7.26.2023_11.53.17_AM+3690123CITY OF EDMONDS MyBuitdingPermit.com Utilities Application #1352347 - Tang Single Family Residence Applicant First Name Last Name Company Name Peter Tanq PNT Group Number Street Apartment or Suite Number E-mail Address 5603 230th ST SW pntgroupllc(.@_gmail.com City State Zip Phone Number Extension Mountlake Terrace WA 98043 (206) 372-2584 Contractor Company Name CAREY BROTHERS ROCKERIES LLC Number Street Apartment or Suite Number 2211 SW Lake Roesiqer Rd City State Zip Phone Number Extension SNOHOMISH WA 98290 (206) 730-9537 State License Number License Expiration Date UBI # E-mail Address CAREYBR936BC 1/11/2025 602660576 darraldrearey(aD_hotmail.com Project Location Number Street Floor Number Suite or Room Number 840 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434208101000 Associated Building Permit Number Tenant Name BLD2023-0443 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Peter & Jia Tanq Number Street Apartment or Suite Number 840 DALEY ST City State Zip EDMONDS WA 98020 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: 7/26/2023 Submitted By: Peter Tang Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1352347 - Tang Single Family Residence Project Contact Company Name: PNT Group Name: Peter Tang Email: pntgroupllc@gmail.com Address: 5603 230th ST SW Phone #: (206) 372-2584 Mountlake Terrace WA 98043 Project Type Activity Type Scope of Work Single Family Residential New Side Sewer Connection Project Name: Tang Single Family Residence Description of Work: New side sewer for a new home. There is an existing residence that will be torn down and we plan to disconnect at the property line and reconnect. Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Page 2 of 2