ENG2022-0536_Application_11.2.2022_8.29.24_AM_2659060CITY OF EDMONDS M BuildingPermit.com
Utilities Application #1086818 - Shippen
Applicant
First Name Last Name Company Name
Jim Coolbaugh Bodine construction Services, Inc
Number Street Apartment or Suite Number E-mail Address
6009 212th st sw jim@bodineconstruction.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (425) 778-2557
Contractor
Company Name
BODINE CONSTR CO INC
Number Street Apartment or Suite Number
6009 212th st sw
City State Zip Phone Number Extension
Lynnwood Wa 98036 (425) 778-2557 (206) 510-5482
State License Number License Expiration Date UBI # E-mail Address
BODINC*332BT 3/2/2023 11 gnnss.m jim@bodineconstruction.com
Project Location
Number Street Floor Number Suite or Room Number
18101 SUNSET WAY
City Zip Code County Parcel Number
EDMONDS 98026 27041800202000
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
Matthew & Elana Shippen
Number Street Apartment or Suite Number
18101 SUNSET WAY
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
I 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. I
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: 11/2/2022 Submitted By: Jim Coolbaugh
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1086818 - Shippen
Project Contact
Company Name: Bodine construction Services,
Inc
Name: Jim Coolbaugh Email: jim@bodineconstruction.com
Address: 6009 212th st sw Phone #: (425) 778-2557
Lynnwood WA 98036
Project Type Activity Type Scope of Work
Single Family Residential Utility Modification Storm Drainage System
Project Name: Shippen
Description of Residential storm drainage repair. Repair/Replace below grade downspout and footing
Work: conveyance pipes. New conveyance pipe to connect to existing Type 1 catch basin
#5-473.
Project Details
Project Information
Connection to City stormwater system
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