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ENG2023-0219+Application+4.19.2023_9.21.38_AM+3491625CITY OF EDMONDS Utilities Application #1301449 - Ali House Applicant First Name Last Name Ed Mecum i MyBuitdingPermit.com Company Name G2 Civil Number Street Apartment or Suite Number E-mail Address 1700 Gilman Blvd Suite 200 info(L g2civil.com City State Zip Issaquah WA 98027 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 7815 202ND PL SW City Zip Code EDMONDS 98026 Associated Building Permit Number BLD2022-0750 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension (425) 364-5285 County Parcel Number 00401300000400 Tenant Name Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number 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: 4/19/2023 Submitted By: Ed Mecum Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1301449 - Ali House Project Contact Company Name: G2 Civil Name: Ed Mecum Email: info@g2civil.com Address: 1700 Gilman Blvd Suite 200 Phone #: (425) 364-5285 Issaquah WA 98027 Project Type Single Family Residential Activity Type Scope of Work Utility Availability Sanitary Sewer Main Project Name: Ali House Description of Work: Construction of one single family residence Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Page 2 of 2