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ENG2022-0495+Application+10.4.2022_10.53.13_AM+3144476CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1211011 - Angle Residence Applicant First Name Last Name Company Name Forrest Murphy CAST Architecture Number Street Apartment or Suite Number E-mail Address 115 N. 36th St. forrest(o)_CASTarchitecture.com City State Zip Phone Number Extension Seattle WA 98103 (206) 256-9886 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 15724 72ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00513100002601 Associated Building Permit Number Tenant Name BLD2022-0439 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 Nathan X & Callie E Angle Number Street Apartment or Suite Number 15724 72ND 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: 10/4/2022 Submitted By: Forrest Murphy Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1211011 - Angle Residence Project Contact Company Name: CAST Architecture Name: Forrest Murphy Email: forrest@CASTarchitecture.com Address: 115 N. 36th St. Phone #: (206) 256-9886 Seattle WA 98103 Project Type Activity Type Scope of Work Single Family Residential Utility Availability Water Main Project Name: Angle Residence Description of Work: Construction of a single-family residence with a detached garage. Project Details Structure Type Single Family Dwelling Project Information Connection to City water service Page 2 of 2