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BLD2021-1018+Application+7.22.2021_11.48.24_AM+2261267CITY OF EDMONDS MyBuilaingPermit.coin Building Application #980590 - Montclair Unit A106 Repair Applicant First Name Last Name Company Name Nahshon Graumann CDK Construction Services Inc. Number Street Apartment or Suite Number E-mail Address PO Box 1767 ngraumann@cdkconstruction.com City State Zip Phone Number Extension Duvall WA 98019 (206) 898-2899 Contractor Company Name C D K CONST SERVICES INC Number Street Apartment or Suite Number PO Box 1767 City Duvall State License Number CDKCOS1066MA Project Location Number Street 8510 MAIN ST City EDMONDS Associated Building Permit Number State Zip Phone Number Extension WA 98019 (425) 788-8441 (206) 898-2899 License Expiration Date UBI # E-mail Address 10/19/2021 601513599 ngrauman n(cD_cdkconstruction.com Zip Code County Parcel Number 98026 00917500110600 Tenant Name Marney Lund Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 1 A-106 First Name Last Name or Company Name Michael C & Raftery Caroline R Raftery Number Street Apartment or Suite Number 4616 25TH AVE NE 317 City State Zip SEATTLE WA 98105 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: 7/22/2021 Submitted By: Nahshon Graumann Page 1 of 2 i o CITY OF EDMONDS MyBuildingPerrnit.cm „c Building Application #980590 - Montclair Unit A106 Repair Project Contact Company Name: CDK Construction Services Inc. Name: Nahshon Graumann Address: PO Box 1767 Duvall WA 98019 Project Type Nonresidential Email: ngraumann@cdkconstruction.com Phone #: (206) 898-2899 Activity Type Remodel Project Name: Montclair Unit A106 Repair Description of Work: Repair to rot damaged exterior envelope per Dibble Engineering Inc (DEI) directive. Project Details Project Information Square Feet -Tenant 35 Valuation Fair Market Value of Construction Work $6,500 Exterior Changes? The work involves changes to the exterior Page 2 of 2