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ENG2023-0617+SEWER Application+11.30.2023_12.48.18_PM+3926774CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1411039 - Cochran Residence Applicant First Name Last Name Company Name Mike Cochran Cochran Construction LLC Number Street Apartment or Suite Number E-mail Address 13005 72nd Street SE mikehcochran(cbgmail.com City State Zip Phone Number Extension SNOHOMISH WA 98290 (425) 308-5770 Contractor Company Name Cochran Construction LLC Number Street Apartment or Suite Number 13005 72nd Street SE City State Zip Phone Number Extension SNOHOMISH WA 98290 (425) 308-5770 State License Number License Expiration Date UBI # E-mail Address COCHRCL914CO 7/15/2025 602282527 mikehcochran(aDgmail.com Project Location Number Street Floor Number Suite or Room Number City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Work is within the City ROW, between 8475 parcel and Frederick Place Property Owner First Name Last Name or Company Name Number Street City State Zip Certification Statement - The applicant states: Apartment or Suite Number 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: 11/30/2023 Submitted By: Mike Cochran Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1411039 - Cochran Residence Project Contact Company Name: Cochran Construction LLC Name: Mike Cochran Email: mikehcochran@gmail.com Address: 13005 72nd Street SE Phone #: (425) 308-5770 SNOHOMISH WA 98290 Project Type Activity Type Scope of Work Single Family Residential New Side Sewer Connection Project Name: Cochran Residence Description of Work: Connect proposed new SFR to the existing SSCO within the City ROW. (Note: ROW permit has been applied for). Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Additional Parcels: 00594400006402 Page 2 of 2