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ENG2024-0107+Application+3.13.2024_4.22.20_PM+4127857CITY OF EDMONDS MyBuitdingPermit.com Utilities Application #1457446 - Martinez ADU Applicant First Name Last Name Company Name Victor Martinez Number Street Apartment or Suite Number E-mail Address 21916 93rd Place West vam1256(@,gmail.com City State Zip Phone Number Extension Edmonds WA 98020-3912 (206) 499-2530 Contractor Company Name CLASSIC REMODELING NW INC Number Street Apartment or Suite Number 9502 19th Ave SE Suite G City State Zip Phone Number Extension Everett WA 98208 (425) 224-2004 State License Number License Expiration Date UBI # E-mail Address CLASSRN916MZ 9/14/2025 602929774 info(aD-classicremodelingnw.com Project Location 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 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: 3/13/2024 Submitted By: Victor Martinez Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1457446 - Martinez ADU Project Contact Company Name: Name: Victor Martinez Email: vam1256@gmail.com Address: 21916 93rd Place West Phone #: (206) 499-2530 Edmonds WA 98020-3912 Project Type Activity Type Scope of Work Single Family Residential New Side Sewer Connection Project Name: Martinez ADU Description of Work: Connection of new ADU building plumbing to existing side sewer pipe. Project Details Structure Type Duplex Project Information Connection to City sewer service Page 2 of 2