ENG2023-0174+Application+3.28.2023_4.33.19_PM+3449387CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1290297 - 310 Daley Sewer Availability
Applicant
First Name Last Name Company Name
Jacob Younq Citizen Desiqn
Number Street Apartment or Suite Number E-mail Address
10 Dravus Street jyounq�collaborativeco.com
City State Zip Phone Number Extension
Seattle WA 98109 (206) 535-7908
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
310 DALEY ST
City Zip Code County Parcel Number
EDMONDS 98020 00434202600101
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
Auqustus J Bukowski
Number Street Apartment or Suite Number
1516 9TH AVE N
City State Zip
EDMONDS WA 98020
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: 3/28/2023 Submitted By: Jacob Young
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1290297 - 310 Daley Sewer Availability
Project Contact
Company Name: Citizen Design Collaborative
Name: Jacob Young Email: jyoung@collaborativeco.com
Address: 10 Dravus Street Phone #: (206) 535-7908
Seattle WA 98109
Project Type Activity Type Scope of Work
Multifamily Residential Utility Availability Sanitary Sewer Main
Project Name: 310 Daley Sewer Availability
Description of Work: Sewer availability request for four townhouses to be constructed under BLD
2022-1328.
Project Details
Project Information
Connection to City sewer service
Sewage System
Public
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