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ENG2023-0002+Application+1.2.2023_10.11.30_AM+3293003CITY OF EDMONDS MyBuitdingPermit.com Utilities Application #1248127 - GOODNIGHT HOME Applicant First Name Last Name Company Name Brian Goodnight Number Street Apartment or Suite Number E-mail Address 737 Aloha earthtobrian(Dyahoo.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 737-0258 Contractor Company Name Owner Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 741 ALOHA ST City Zip Code County Parcel Number EDMONDS 98020 00731400000701 Associated Building Permit Number Tenant Name BLD2022-1279 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Brian Goodnight Number Street Apartment or Suite Number 737 Aloha 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: 1/2/2023 Submitted By: Brian Goodnight Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1248127 - GOODNIGHT HOME Project Contact Company Name: Name: Brian Goodnight Email: earthtobrian@yahoo.com Address: 737 Aloha St Phone #: (425) 737-0258 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential New Side Sewer Connection Project Name: GOODNIGHT HOME Description of Work: Building a new house on lot located at 741 Aloha st Edmonds WA 98020. Work will include a new water meter and side sewer Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Page 2 of 2