ENG2023-0547+SEWER+Application+10.24.2023_11.31.16_AM+3857613CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1393688 - Side Sewer
Applicant
First Name Last Name Company Name
Sofia Bolotin
Number Street Apartment or Suite Number E-mail Address
18230 91 st Ave W
City State Zip
Edmonds WA 98026
Contractor
Company Name
SPH CONSTRUCTION INC
Number Street
2505 92ND PL SE
City State Zip
EVERETT WA 98208
State License Number License Expiration Date UBI #
SPHCOC183ODG 4/11/2025 604091520
Project Location
Sofikland(a-),gmail.com
Phone Number Extension
(425) 551-9193
Apartment or Suite Number
Phone Number Extension
(425) 870-1292
E-mail Address
yura1203(aD_gmail.com
Number Street Floor Number Suite or Room Number
18230 91 ST AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27041800200300
Associated Building Permit Number Tenant Name
BLD 2023-0168
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Sofia & Vladimir Bolotin
Number Street Apartment or Suite Number
18230 91 ST AVE W
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: 10/24/2023 Submitted By: Sofia Bolotin
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1393688 - Side Sewer
Project Contact
Company Name:
Name:
Address:
Sofia Bolotin
18230 91 st Ave W
Edmonds WA 98026
Email: Sofikland@gmail.com
Phone #: (425) 551-9193
Project Type Activity Type
Single Family Residential Utility Modification
Project Name: Side Sewer
Description of Work: Installing new sewer cleanout
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Scope of Work
Partial Line Replacement
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