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ENG2024-0070+Application+2.17.2024_11.15.29_AM+4066621CITY OF EDMONDS MyBuitdingPermit.com Utilities Application #1444348 - 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 License Number Project Location State Zip License Expiration Date Number Street city Zip Code Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Corner 189th Place SW and 89th Avenue Property Owner First Name Number Street City State UBI # County Parcel Number Tenant Name Last Name or Company Name Certification Statement - The applicant states: Zip Phone Number Extension E-mail Address Floor Number Suite or Room Number 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: 2/17/2024 Submitted By: Richard Okimoto Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1444348 - 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 Water Meter Domestic Only Project Name: Subcleff Custom Residence Description of Work: No work required - existing water meter installed years ago in anticipation of this future single-family home. Project Details Water Meter Type Domestic Water Meter Size Water meter - other size Existing in place Water meter 1.0 Page 2 of 2