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ENG2024-0143+Application+3.29.2024_8.19.44_AM+4164000CITY OF EDMONDS MyBuitdingPermit.com Utilities Application #1465483 - Maplewood Estates Lot A side sewer Applicant First Name Last Name Company Name Joseph Rowett Landsverk Quality Homes, Inc. Number Street Apartment or Suite Number E-mail Address 24113 56th Ave W joseph(ablgh-inc.com City State Zip Phone Number Extension Mountlake Terrace WA 98043 (425) 742-2742 Contractor Company Name LANDSVERK QUALITY HOMES INC Number Street Apartment or Suite Number 24113 56th Ave W City State Zip Phone Number Extension Mountlake Terrace WA 98043 (425) 742-2742 State License Number License Expiration Date UBI # E-mail Address LANDSQH023JN 4/16/2025 601855300 joseph(D_lgh-inc.com Project Location Number Street Floor Number Suite or Room Number 8823 194TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27041800313800 Associated Building Permit Number Tenant Name BLD2023-1530 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name LANDSVERK QUALITY HOMES INC 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: 3/29/2024 Submitted By: Joseph Rowett Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1465483 - Maplewood Estates Lot A side sewer Project Contact Company Name: Landsverk Quality Homes, Inc. Name: Joseph Rowett Email: joseph@lqh-inc.com Address: 24113 56th Ave W Phone #: (425) 742-2742 Mountlake Terrace WA 98043 Project Type Activity Type Scope of Work Single Family Residential New Side Sewer Connection Project Name: Maplewood Estates Lot A side sewer Description of Work: side sewer connection for new SFR Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Page 2 of 2