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ENG2024-0252+Application+5.23.2024_1.28.26_PM+4278667CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1493416 - Schmaus Remodel/Addition Applicant First Name Last Name Company Name Devon Schmaus Number Street Apartment or Suite Number E-mail Address 19204 80th Place West schmausd('gD_gmail.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 478-0850 Contractor Company Name Owner Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 19204 80TH PL W City Zip Code County Parcel Number EDMONDS 98026 00572700001000 Associated Building Permit Number Tenant Name BLD2024-0152 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 Tosha & Schmaus Devon Wright Number Street Apartment or Suite Number 19204 80TH PL 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: 5/23/2024 Submitted By: Devon Schmaus Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1493416 - Schmaus Remodel/Addition Project Contact Company Name: Name: Devon Schmaus Email: schmausd@gmail.com Address: 19204 80th Place West Phone #: (425) 478-0850 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential Utility Modification Partial Line Replacement Project Name: Schmaus Remodel/Addition Description of Work: Relocate sewer for addition - add cleanout Project Details Structure Type Single Family Dwelling Project Information Relocate Page 2 of 2