ENG2024-0305+Application+6.17.2024_11.55.40_AM+4326722CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1505302 - DRT New Water Meter
Applicant
First Name Last Name Company Name
Lauren Golembiewski DRT Holdinqs LLC
Number Street Apartment or Suite Number E-mail Address
7509 212th ST SW LMiles(cDglacierenviro.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 355-2826
Contractor
Company Name
GLACIER ENVIRONMENTAL SRVC INC
Number Street Apartment or Suite Number
7509 212th ST SW
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 355-2826
State License Number License Expiration Date UBI # E-mail Address
GLACIES108C7 1/14/2026 601225417 LMiles(aD_glacierenviro.com
Project Location
Number Street Floor Number Suite or Room Number
7509 212TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00566900400600
Associated Building Permit Number Tenant Name
BLD2022-1556 Glacier Environmental Services, Inc
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
DRT HOLDINGS, LLC
Number Street Apartment or Suite Number
7509 212TH PL 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: 6/17/2024 Submitted By: Lauren Golembiewski
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1505302 - DIRT New Water Meter
Project Contact
Company Name: DIRT Holdings LLC
Name: Lauren Golembiewski Email: LMiles@glacierenviro.com
Address: 7509 212th ST SW Phone #: (425) 355-2826
Edmonds WA 98026
Project Type Activity Type Scope of Work
Nonresidential Water Meter Domestic Only
Project Name: DIRT New Water Meter
Description of Work: Install new water meter for new commercial construction
Project Details
Water Meter Type
Domestic
Water Meter Size
Water meter 1.0
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