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ENG2022-0409+Application+7.29.2022_3.36.57_PM+3022108CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1180833 - VAISVILA RESIDENCE Applicant First Name Last Name Company Name Konstantin Babayev Dekosta Inc Number Street Apartment or Suite Number E-mail Address 15600 NE 8th Street Suite B1-793 dekosta(@_comcast.net City State Zip Phone Number Extension Bellevue WA 98008 (425) 941-2740 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 17123 69TH PL W City Zip Code County Parcel Number EDMONDS 98026 01017300001100 Associated Building Permit Number Tenant Name BLD2202-0094 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 Ricardas\ Vaisviliene Teresa Vaisvila Number Street Apartment or Suite Number 17123 69TH PL W City State Zip EDMONDS WA 98026-5232 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: 7/29/2022 Submitted By: Konstantin Babayev Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1180833 - VAISVILA RESIDENCE Project Contact Company Name: Dekosta Inc Name: Konstantin Babayev Email: dekosta@comcast.net Address: 15600 NE 8th Street Suite B1-793 Phone #: (425) 941-2740 Bellevue WA 98008 Project Type Activity Type Scope of Work Single Family Residential New Water Meter Project Name: VAISVILA RESIDENCE Description of Work: New water meter Project Details Water Meter Type Domestic and Fire Combo Water Meter Size Water meter 1.0 Page 2 of 2