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ENG2024-0069+Application+2.17.2024_11.23.03_AM+4066626CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1444354 - Subcleff Custom Residence Applicant First Name Last Name Company Name Richard Okimoto Richard A. Okimoto, Architect Number Street Apartment or Suite Number E-mail Address 9924 225th Place SW raoarch(Lboutlook.com City State Zip Phone Number Extension EDMONDS WA 98020-5924 (425) 697-0983 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 8908 189TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00728600000300 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 Douqlas H Subcleff Number Street Apartment or Suite Number 8816 189TH 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: 2/17/2024 Submitted By: Richard Okimoto Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1444354 - Subcleff Custom Residence Project Contact Company Name: Richard A. Okimoto, Architect Name: Richard Okimoto Email: raoarch@outlook.com Address: 9924 225th Place SW Phone #: (425) 697-0983 EDMONDS WA 98020-5924 Project Type Activity Type Scope of Work Single Family Residential Utility Availability Sanitary Sewer Main Project Name: Subcleff Custom Residence Description of Work: No work required. Existing sewer service connected to sanitary sewer main years ago in anticipation of construction of this single-family residence at this time. Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Page 2 of 2