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ENG2023-0387+Application+7.27.2023_3.57.13_PM+3693683CITY OF EDMONDS Utilities Application #1354591 - Abedalla SFR Applicant First Name Last Name Niran Abedalla Number Street Apartment or Suite Nur 7815 202nd PL SW City State Zip Edmonds wa 98026 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location i MyBuitdingPermit.com Company Name ar E-mail Address maria(LD_westcoastpita.com Phone Number Extension (425) 244-0841 Apartment or Suite Number Phone Number Extension E-mail Address Number Street Floor Number Suite or Room Number 7815 202ND PL SW City Zip Code County Parcel Number EDMONDS 98026 00401300000400 Associated Building Permit Number Tenant Name BLD2022-0750 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Niran Abedalla Number Street Apartment or Suite Number 10951 SE 162ND ST City State Zip BELLEVUE WA 98006 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: 7/27/2023 Submitted By: Niran Abedalla Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1354591 - Abedalla SFR Project Contact Company Name: Name: Maria Vallianatos Email: Maria@westcoastpita.com Address: 7051 S 234th St Phone #: (425) 244-0841 kent wa 98032 Project Type Activity Type Scope of Work Single Family Residential Water Meter Domestic Only Project Name: Abedalla SFR Description of Work: Side water connection Project Details Water Meter Type Domestic Water Meter Size Water meter 1.0 Page 2 of 2