ENG2024-0500+Application+10.23.2024_2.29.34_PM+4577495CITY OF EDMONDS
MyBuitdingPermit.com
Utilities Application #1566239 - 22216 98th Ave W - Lot 1 side sewer
Applicant
First Name
Last Name
Company Name
Select Homes
Select Homes
Select Homes, Inc.
Number Street
Apartment or Suite Number
E-mail Address
8304 212th St SW
kayla.clark(.@_outlook.com
City State
Zip
Phone Number Extension
Edmonds WA
98026
(425) 742-6044
Contractor
Company Name
Select homes inc
Number Street
Apartment or Suite Number
8304 212th St SW
City
State Zip
Phone Number Extension
Edmonds
WA 98026
(425) 742-6044
State License Number
License Expiration Date UBI #
E-mail Address
SELECH1110KN
1/25/2025 601148280
kayla.clark(D_outlook.com
Project Location
Number Street
Floor Number Suite or Room Number
22216 98TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00450700300002
Associated Building Permit Number Tenant Name
BLD2024-1041
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Last Name or Company Name
SELECT HOMES INC
Number Street Apartment or Suite Number
8304 212TH ST SOUTHWEST
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: 10/23/2024 Submitted By: Select Homes Select Homes
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1566239 - 22216 98th Ave W - Lot 1 side sewer
Project Contact
Company Name: Select Homes, Inc
Name: Kayla Nichols Email: kayla.clark@outlook.com
Address: 8304 212th St SW Phone #: (425) 742-6044
Edmonds WA 98026
Project Type Activity Type Scope of Work
Single Family Residential New Side Sewer Connection
Project Name: 22216 98th Ave W - Lot 1 side sewer
Description of Work: Sewer connection for new SFR in 3 lot short plat
Project Details
Structure Type
Single Family Dwelling
Project Information
Connection to City sewer service
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