ENG2023-0434+Application+8.23.2023_2.34.24_PM+3743467CITY OF EDMONDS
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Utilities Application #1366787 - SLAC
Applicant
First Name Last Name
Deanne Landsverk
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MyBuitdingPermit.com
Company Name
Landsverk Quality Homes, Inc.
Number Street Apartment or Suite Number E-mail Address
24113 56th Ave. W.
City State
Zip
Mountlake Terrace WA
98043
Contractor
Company Name
LANDSVERK QUALITY HOMES INC
Number Street
24113 56th Ave W
City
State Zip
Mountlake Terrace
WA 98043
State License Number
License Expiration Date UBI #
LANDSQH023JN
4/16/2025 601855300
Project Location
Number Street
19515 94TH PL W
dean ne(aD_lgh-inc.com
Phone Number Extension
(425) 754-2069
Apartment or Suite Number
Phone Number Extension
(425) 754-2069
E-mail Address
duane(cDlgh-inc.com
City Zip Code County Parcel Number
EDMONDS 98020 00434600005801
Associated Building Permit Number Tenant Name
BLD2023-0623
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number Suite or Room Number
First Name Last Name or Company Name
Duane & Deanne Landsverk
Number Street Apartment or Suite Number
24113 56TH AVE W
City State Zip
MOUNTLAKE WA 98043
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: 8/23/2023 Submitted By: Deanne Landsverk
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1366787 - SLAC
Project Contact
Company Name: Landsverk Quality Homes, Inc.
Name: Deanne Landsverk Email: deanne@lqh-inc.com
Address: 24113 56th Ave. W. Phone #: (425) 754-2069
Mountlake Terrace WA 98043
Project Type Activity Type Scope of Work
Single Family Residential New Side Sewer Connection
Project Name: SLAC
Description of Work: Side Sewer
Project Details
Structure Type
Single Family Dwelling
Project Information
Connection to City sewer service
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