ENG2023-0557+SIDE SEWER+Application+11.1.2023_11.06.20_AM+3874162CITY OF EDMONDS MyBuitdingPermit.com
Utilities Application #1386315 - Koh - Sewer Permit
Applicant
First Name Last Name Company Name
Nazim Nice Motionspace Architecture
Number Street Apartment or Suite Number E-mail Address
3104 Western Avenue #107 nazim(c_motion-space.com
City State Zip Phone Number Extension
Seattle WA 98121 (206) 204-0490
Contractor
Company Name
DLHINC
Number
Street
Apartment or Suite Number
44021
SE Tanner Road
A
City
State Zip
Phone Number
Extension
North Bend
WA 98045
(425) 985-2862
(360) 490-8032
State License Number
License Expiration Date
UBI # E-mail Address
DLHIN**072B5
3/30/2024
601426869 lason(D_dlhinc.com
Project Location
Number
Street
Floor Number
Suite or Room Number
15604
75TH PL W
City
Zip Code
County Parcel Number
EDMONDS
98026
00513100002410
Associated Building Permit
Number
Tenant Name
BLD2023-0640
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
* HARTANAH KL LLC
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: 11/1/2023 Submitted By: Nazim Nice
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1386315 - Koh - Sewer Permit
Project Contact
Company Name: Motionspace Architecture
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 New Side Sewer Connection
Project Name: Koh - Sewer Permit
Description of Work: New residence w/ grinder pump and force main up to existing side sewer stub at 75th PI
W. Exact configuration TBD through associated building permit BLD2023-0640
Project Details
Structure Type
Single Family Dwelling
Project Information
Connection to City sewer service
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