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BLD2021-0495+Application+4.7.2021_4.09.13_PM+2133498RECEIVED .y4.JIMPAiQiLL4161 Apr 08 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CITY OF EDMONDS MyBuildingPermit.com Building Application #946414 - Portable Classroom Woodway ES - P-1 Applicant First Name Last Name Company Name Matt Christensen Hutteball + Oremus Architecture Number Street Apartment or Suite Number E-mail Address 4010 Lake Washinqton Blvd Ste 320 mchristensen@hoarch.com City State Zip Phone Number Extension Kirkland WA 98033 425-736-8056 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 9521 240TH ST SW 1 Portable (P-1) City Zip Code County Parcel Number EDMONDS 98020 27033600404600 Associated Building Permit Number Tenant Name Edmonds School District Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS SCHOOL DIST 15 Number Street Apartment or Suite Number 20420 68TH AVE W City State Zip LYNNWOOD WA 98036-7405 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: 4/7/2021 Submitted By: Matt Christensen Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #946414 - Portable Classroom Woodway ES - P-1 Project Contact Company Name: Hutteball + Oremus Architecture Name: Matt Christensen Email: mchristensen@hoarch.com Address: 40110 Lake Washington Blvd Ste Phone #: 425-736-8056 320 Kirkland WA 98033 Project Type Any Project Type Activity Type Preapplication Services Project Name: Portable Classroom Woodway ES - P-1 Description of Work: Portable Classroom placement at Former Woodway Elementary School. Minor site development to support portables. Project Details Work Location Work Description/Location (example: 1st floor, Kristin Johns Master Bath, Garage) Page 2 of 2