ENG2023-0134+Application+3.9.2023_12.13.55_AM+3410438CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1280196 - Koh Residence (water availability)
Applicant
First Name Last Name Company Name
Nazim Nice Motionspace Architecture + Design
Number Street Apartment or Suite Number E-mail Address
3104 Western Avenue #107 nazim(@_motion-space.com
City State Zip Phone Number Extension
Seattle WA 98121 (206) 204-0490
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
15604 75TH PL W
City Zip Code
EDMONDS 98026
Associated Building Permit Number
PRE2022-0010
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Phone Number Extension
UBI # E-mail Address
County Parcel Number
00513100002410
Tenant Name
Last Name or Company Name
HARTANAH KL LLC
Floor Number
Suite or Room Number
Number Street Apartment or Suite Number
15324 MERIDIAN DR SE
City State Zip
LYNNWOOD WA 98087
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: 3/9/2023 Submitted By: Nazim Nice
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1280196 - Koh Residence (water availability)
Project Contact
Company Name: Motionspace Architecture + Design
Name: Jack Bader Email: jack@motion-space.com
Address: 3104 Western Avenue #107 Phone #: (206) 495-5847
Seattle WA 98121
Project Type Activity Type Scope of Work
Single Family Residential Utility Availability Water Main
Project Name: Koh Residence (water availability)
Description of Work: New 3000 SF, one story, single family residence with attached garage
Project Details
Structure Type
Single Family Dwelling
Project Information
Connection to City water service
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