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ENG2024-0416+Application+8.20.2024_7.01.45_PM+4453034CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1535781 -Addition Applicant First Name Last Name Company Name HECTOR VIGNA Number Street Apartment or Suite Number E-mail Address 551 s sullivan st c vignaarq @_hotmail.com City State Zip seatte WA 98108 Contractor Company Name CARTER'S HANDY SERVICES LLC Number Street 15606 GOLDBAR DR City State Zip GOLD BAR WA 98251 State License Number License Expiration Date UBI # CARTEHS78008 10/4/2024 604957554 Project Location Phone Number Extension (206) 779-2967 Apartment or Suite Number Phone Number Extension (425) 231-4189 E-mail Address vignaarq(cD_hotmail.com Number Street Floor Number Suite or Room Number 8302 218TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27043000108300 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 Minoo Anklesaria Number Street Apartment or Suite Number 8302 218TH ST SW City State Zip EDMONDS WA 98026 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: 8/20/2024 Submitted By: HECTOR VIGNA Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1535781 -Addition Project Contact Company Name: Name: HECTOR VIGNA Email: vignaarq@hotmail.com Address: 551 s sullivan st c Phone #: (206) 779-2967 seatte WA 98108 Project Type Activity Type Scope of Work Single Family Residential Utility Modification Partial Line Replacement Project Name: Addition Description of Work: sewer line need to be relocated, and add a clean out 2' from the house Project Details Structure Type Single Family Dwelling Project Information Repair Page 2 of 2