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ENG2022-0523+Application+10.22.2022_2.30.22_PM+3179909CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1219489 - 7527 Edmonds Side Sewer Applicant First Name Last Name Company Name Peik Li Panq 5ft2 Studio Architects Number Street Apartment or Suite Number E-mail Address 2625 Northup Way 100 info(LD_5ft2studio.com City State Zip Phone Number Extension Bellevue WA 98004 (425) 287-1567 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 7527 172ND ST SW City Zip Code County Parcel Number EDMONDS 98026 00513100012222 Associated Building Permit Number Tenant Name 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 Kaveh Noorbakhsh Number Street Apartment or Suite Number 7527 172ND 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: 10/22/2022 Submitted By: Peik Li Pang Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1219489 - 7527 Edmonds Side Sewer Project Contact Company Name: 5ft2 Studio Architects Name: Peik Li Pang Email: info@5ft2studio.com Address: 2625 Northup Way 100 Phone #: (425) 287-1567 Bellevue WA 98004 Project Type Activity Type Scope of Work Single Family Residential New Side Sewer Connection Project Name: 7527 Edmonds Side Sewer Description of Work: Addition to existing building , new clean out will need to be added on north of the new addition kitchen. Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Page 2 of 2