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ENG2024-0259+Application+5.24.2024_10.15.29_AM+4280815CITY OF EDMOill MyBuildingPermit.com Utilities Application #1492906 - Machuga Addition/Remodel Applicant First Name Last Name Company Name Jennifer Machuqa Number Street Apartment or Suite Number E-mail Address 21227 96th Ave. W jenwitz(Dyahoo.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 265-2562 Contractor Company Name SOUND BUILDING SOLUTIONS LLC Number Street Apartment or Suite Number 19010 18TH AVE NE City State Zip Phone Number Extension SEATTLE WA 98155 (206) 793-7709 State License Number License Expiration Date UBI # E-mail Address SOUNDBS954Q9 9/13/2024 602528697 Steve(a�_soundbuildingsolutions.com Project Location Number Street Floor Number Suite or Room Number 21227 96TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00528100000600 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 Steven & Jennifer Machuqa Number Street Apartment or Suite Number 21227 96TH AVE W City State Zip EDMONDS WA 98020 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: 5/24/2024 Submitted By: Jennifer Machuga Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1492906 - Machuga Addition/Remodel Project Contact Company Name: Name: Address: Jennifer Machuga 21227 96th Ave. W Edmonds WA 98020 Project Type Single Family Residential Email: jenwitz@yahoo.com Phone #: (206) 265-2562 Activity Type Scope of Work Utility Modification Partial Line Replacement Project Name: Machuga Addition/Remodel Description of Work: Relocate portion of side sewer for addition to existing single-family residence. Project Details Structure Type Single Family Dwelling Project Information Relocate Page 2 of 2