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ENG2024-0032+Application+1.23.2024_6.08.25_PM+4016424CITY OF EDMONDS Utilities Application #1432675 - Martinez ADU Applicant First Name Last Name Victor Martinez Number Street Apartment or Suite Nur 21916 93rd Place West City State Zip Edmonds WA 98020-3912 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location i MyBuitdingPermit.com Company Name ar E-mail Address vam1256(@,qmail.com Phone Number Extension (206) 499-2530 Apartment or Suite Number Phone Number Extension E-mail Address Number Street Floor Number Suite or Room Number 21916 93RD PL W City Zip Code County Parcel Number EDMONDS 98020 00547600000500 Associated Building Permit Number Tenant Name BLD2023-1236 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Victor & Stephanie Martinez Number Street Apartment or Suite Number 21916 93RD PL W City State Zip EDMONDS WA 98020-3912 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: 1/23/2024 Submitted By: Victor Martinez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1432675 - Martinez ADU Project Contact Company Name: Name: Victor Martinez Address: 21916 93rd Place West Edmonds WA 98020-3912 Email: vam1256@gmail.com Phone #: (206) 499-2530 Project Type Activity Type Scope of Work Single Family Residential Water Meter Domestic Only Project Name: Martinez ADU Description of Work: Upsize existing 3/4" water meter to 1" water meter for an ADU addition. Project Details Water Meter Type Domestic Water Meter Size Water meter 1.0 Page 2 of 2