ENG2023-0639+Application+12.20.2023_12.23.50_PM+3964311CITY OF EDMONDS MyBuitdingPermit.com
Utilities Application #1419560 -
22212 98th Ave W - side sewer permit
Applicant
First Name
Last Name
Company Name
Kayla
Nichols
Select Homes, Inc.
Number Street
Apartment or Suite Number E-mail Address
8304 212th St SW
kayla.clark(.@_outlook.com
City State
Zip
Phone Number Extension
Edmonds WA
98026
(425) 742-6044
Contractor
Company Name
Select homes inc
Number Street
Apartment or Suite Number
8304 212th St SW
City
State Zip
Phone Number Extension
Edmonds
WA 98026
(425) 742-6044
State License Number
License Expiration Date
UBI # E-mail Address
SELECH1110KN
1/25/2025
601148280 kayla.clark(D_outlook.com
Project Location
Number Street
Floor Number Suite or Room Number
22212 98TH AVE W
City
Zip Code
County Parcel Number
EDMONDS
98020
00450700300002
Associated Building Permit Number
Tenant Name
BLD2023-1244
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
SELECT HOMES INC
Number Street Apartment or Suite Number
8304 212TH ST SOUTHWEST
City State Zip
EDMONDS WA 98026
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: 12/20/2023 Submitted By: Kayla Nichols
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1419560 - 22212 98th Ave W - side sewer permit
Project Contact
Company Name: Select Homes, Inc.
Name: Kayla Nichols Email: kayla.clark@outlook.com
Address: 8304 212th St SW Phone #: (425) 742-6044
Edmonds WA 98026
Project Type
Single Family Residential
Activity Type Scope of Work
New Side Sewer Connection
Project Name: 22212 98th Ave W - side sewer permit
Description of Work: New SFR side sewer connection
Project Details
Structure Type
Single Family Dwelling
Project Information
Connection to City sewer service
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