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ENG2024-0362+Application+7.15.2024_5.24.27_PM+4379159CITY OF EDMONDS MyBuitdingPermit.com Utilities Application #1518123 - Mathay Ballinger Park Improvements Water Meter Applicant First Name Last Name Company Name Kyle Woods City of Edmonds, Parks and Rec Number Street Apartment or Suite Number E-mail Address 700 Main ST kyle.woods(c)_edmondswa.gov City State Zip Phone Number Extension Edmonds WA 98020 (425) 599-3847 Contractor Company Name ACCORD CONTRACTORS LLC Number Street Apartment or Suite Number 15405 SE 37th St 100 City State Zip Phone Number Extension Bellevue WA 98006 (425) 344-1505 State License Number License Expiration Date UBI # E-mail Address ACCORCL906CB 2/2/2026 602700903 kyle.woods(a)edmondswa.gov Project Location Number Street Floor Number Suite or Room Number 24105 78TH PL W City Zip Code County Parcel Number Edmonds 98026 27043100402800 Associated Building Permit Number Tenant Name bld-2023-1391 Vacant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 250 5TH AVE N City State Zip EDMONDS WA 98020-3146 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: 7/15/2024 Submitted By: Kyle Woods Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1518123 - Mathay Ballinger Park Improvements Water Meter Project Contact Company Name: City of Edmonds, Parks and Rec Name: Kyle Woods Email: kyle.woods@edmondswa.gov Address: 700 Main ST Phone #: (425) 599-3847 Edmonds WA 98020 Project Type Activity Type Scope of Work Nonresidential Water Meter Domestic Only Project Name: Mathay Ballinger Park Improvements Water Meter Description of Work: Water Meter for new restroom Project Details Water Meter Type Domestic Water Meter Size Water meter 0.75 Page 2 of 2