ENG2024-0175+Application+4.18.2024_12.22.25_PM+4205232CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1475666 - Rust Addition Side Sewer Repair
Applicant
First Name Last Name Company Name
James Rust
Number Street Apartment or Suite Number E-mail Address
19803 81 st PI W james(LD_tri-countycabulance.com
City State Zip Phone Number Extension
Edmonds WA 98026 (206) 571-2279
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
19803 81 ST PL W
City Zip Code County Parcel Number
EDMONDS 98026 00603400000900
Associated Building Permit Number Tenant Name
BLD2023-1095
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
James C & Heather L Rust
Number Street Apartment or Suite Number
19803 81 ST PL W
City State Zip
EDMONDS WA 98026-6410
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: 4/18/2024 Submitted By: James Rust
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1475666 - Rust Addition Side Sewer Repair
Project Contact
Company Name: OMEGA ENGINEERIING
Name: Ali Maggs Email: ALI@OMEGA-ENG.COM
Address: 2707 WETMORE AVE Phone #: (425) 903-4852
EVERETT WA 98201
Project Type Activity Type
Single Family Residential Utility Modification
Project Name: Rust Addition Side Sewer Repair
Description of Work: Relocate Side Sewer to North side of SFR
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Scope of Work
Partial Line Replacement
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