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ENG2024-0331+Application+7.1.2024_12.13.32_PM+4352436CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1511703 - Hopper - SFR Sewer Applicant First Name Last Name Company Name John Murphy MURPHY BUILDING COMPANY INC Number Street Apartment or Suite Number E-mail Address PO Box 1136 City State Zip Lynnwood WA 98046-1136 Contractor Company Name MURPHY BUILDING COMPANY INC Number Street 1136 mbc(D,murphybuildinq.com Phone Number Extension (206) 730-6734 Apartment or Suite Number City State Zip Phone Number Extension LYNNWOOD WA 98046-1136 (425) 775-3388 (206) 730-6734 State License Number License Expiration Date UBI # E-mail Address MURPHBC113K3 6/11/2026 601082861 mbc(a-)_murphybuildinq.com Project Location Number Street Floor Number Suite or Room Number 1005 OLYMPIC AVE City Zip Code County Parcel Number EDMONDS 98020 00766100001000 Associated Building Permit Number Tenant Name BLD2023-1083 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: 7/1/2024 Submitted By: John Murphy Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1511703 - Hopper - SFR Sewer Project Contact Company Name: MU PHY BUILDING COMPANY INC Name: John Murphy Email: mbc@murphybuilding.com Address: PO Box 1136 Phone #: (206) 730-6734 Lynnwood WA 98046-1136 Project Type Activity Type Scope of Work Single Family Residential New Side Sewer Connection Project Name: Hopper - SFR Sewer Description of Work: Sewer connection for New Single Family Residence in Easement and associated sewer line move of neighbors sewer line not located correctly in easement. Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Page 2 of 2