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ENG2023-0261+Application+5.24.2023_3.01.45_PM+3567582CITY OF EDMONDS MyBuitdingPermit.com Utilities Application #1322107 - Daren & Kari Hopper New Home Build Applicant First Name Last Name Company Name Daren Hopper Number Street Apartment or Suite Number E-mail Address 11924 42nd DR SE Dhopper(.@_Sea-Mountain.com City State Zip Phone Number Extension Everett WA 98208 (425) 876-2265 Contractor Company Name MURPHY BUILDING COMPANY INC Number Street Apartment or Suite Number 6203 202nd St SW City State Zip Phone Number Extension LYNNWOOD WA 98036 2067306734 4257753388 State License Number License Expiration Date UBI # E-mail Address MURPHBC113K3 5/24/2024 601082861 mbc(a-)_murphybuildinq.com Project Location Number Street Floor Number Suite or Room Number 0 City Zip Code County Parcel Number 00766100001000 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Daren Hopper Number Street Apartment or Suite Number 11924 42ND DR SE City State Zip EVERETT WA 98208-5350 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: 5/24/2023 Submitted By: Daren Hopper Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1322107 - Daren & Kari Hopper New Home Build Project Contact Company Name: Name: Daren Hopper Email: Dhopper@Sea-Mountain.com Address: 1005 Olympic Avenue Phone #: (425) 876-2265 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential Utility Availability Water Main Project Name: Daren & Kari Hopper New Home Build Description of Work: New single family residence. single story with daylight basement. Project Details Structure Type Single Family Dwelling Project Information Connection to City water service Page 2 of 2